| Doctor Name: | MARIA H BAUTISTA |
| NPI Number: | 1710981485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 35036596B |
| Business Practice Address: | 1039 Haskins Rd Bowling Green, OH - 434029065 |
| Business Phone Number: | 4193521121 |
| Business Fax Number: | 4193521179 |
| Mailing Address: | 1039 Haskins Rd, BOWLING GREEN |
| State: | OH |
| Postal Code: | 434029065 |
| Phone Number: | 4193521121 |
| Fax Number: | 4193521179 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35036596B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |