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Individual
ANDREW JEDLICKA
Active
Individual
ANDREW JEDLICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
000918
IA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
1926-39
WI
2255A2300X
Athletic Trainer
Primary
—
IA
Other
Enumeration date
06/08/2016
Last updated
08/02/2022
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