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NPI Code Detail

MEDICARE: MARK P. HUTH MD

MEDICARE: MARK P. HUTH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician47121WI

General Provider Information

NPI Number : 1013998715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK P. HUTH MD
Provider Business Mailing Address
First Line : 1265 JOHN Q HAMMONS DR
Second Line :
City : MADISON
State : WI
Zip : 53717-1921
Country : US
Telephone Number : 608-251-4156
Fax Number :
Provider Business Practice Location Address
First Line : 3051 CAHILL MAIN
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-7109
Country : US
Telephone Number : 608-661-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 04/29/2016

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