person
Chad D Mahutga
Student in an Organized Health Care Education/Training Program in La Crosse, Wisconsin
NPI 1790448041

Chad D Mahutga is a Student in an Organized Health Care Education/Training Program based in La Crosse, WI. Chad D Mahutga practices in La Crosse, WI. The NPI Number for Chad D Mahutga is 1790448041 and holds a License No. 7252 (Wisconsin).

The current practice location address for Chad D Mahutga is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
person
Provider Profile Details
NPI Number
1790448041
Provider Name
Chad D Mahutga
Credential
Provider Entity Type
Individual
Gender
Male
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
Provider Enumeration Date
10/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
7252 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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