Maria Editha M Bautista-Santos, MD
Family Medicine in Appleton, WI. Individual provider (NPI-1).
NPI number1386638393
StatusActive
Last updated in NPPESAug 28, 2008
Details
- NPI
- 1386638393
- Entity type
- Individual (NPI-1)
- Name
- Maria Editha M Bautista-Santos
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Aug 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 42521 | WI | Yes |
Practice location
3329 N Richmond StAppleton, WI 54911-1063
Phone 920-380-2715
Mailing address
3329 N Richmond StAppleton, WI 54911-1063
Phone 920-380-2715
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