Maria Editha M Bautista-Santos, MD

NPI #1386638393 in Appleton, Wisconsin

Provider Information

NPI Number: 1386638393
Entity Type: Individual
Name: Maria Editha M Bautista-Santos, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 6, 2005
Last Updated: Aug 28, 2008

Practice Location

Address: 3329 N RICHMOND ST
City: Appleton
State: Wisconsin
ZIP Code: 54911-1063
Phone: (920) 380-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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