Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark William Dantuma, APNP

Individual provider Nurse Practitioner · NPI 1407322084

Mark William Dantuma, APNP is a Nurse Practitioner in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

3200 E Racine St
Janesville, WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8782-33 (WI)

Record details

NPI number1407322084
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESNovember 6, 2020
Certification dateNovember 6, 2020
Mailing address500 W 190th St Ste 400, Gardena, CA 90248-4269

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