Individual provider · Type 1 NPI

Chad D. Mahutga

Medical Physician Assistant · La Crosse, WI

NPI number 1790448041 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7252 (WI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1790448041

Chad D. Mahutga's National Provider Identifier is 1790448041, issued on Oct 14, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Apr 4, 2023.