| Doctor Name: | DR. ROBERT SANTIAGO |
| NPI Number: | 1720121213 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35-05-7517 |
| Business Practice Address: | 396 Portland Way N Galion, OH - 448331115 |
| Business Phone Number: | 4194625543 |
| Business Fax Number: | 4194622058 |
| Mailing Address: | 247 Glen Village Ct, POWELL |
| State: | OH |
| Postal Code: | 430659677 |
| Phone Number: | 6144318869 |
| Fax Number: | 6144319910 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35-05-7517 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |