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NPI 1598763773

NPI 1598763773 : MARCUS F SANTINI MD : IRONWOOD, MI

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General NPI Number Information
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    NPI Number           |    1598763773
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    Entity Type          |    Individual 
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    Provider Name        |    MARCUS F SANTINI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2005
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    Last Update Date     |    04/07/2010
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Provider Practice Location Address
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    Address Line         |    E6112 E BLUFFVIEW RD 
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    City                 |    IRONWOOD
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    State                |    MI
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    Zip                  |    49938-9367
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    Country              |    US
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    Telephone            |    906-932-2231
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    Fax                  |    906-932-2620
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Provider Business Mailing Address
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    Address Line         |    N10565 GRANDVIEW LN 
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    City                 |    IRONWOOD
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    State                |    MI
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    Zip                  |    49938-9622
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    Country              |    US
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    Telephone            |    906-932-1500
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    Fax                  |    906-932-5630
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    4301042178
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    License Number State |    MI
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