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Individual
ANDREW G MAYO
Active
Individual
ANDREW G MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38746
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102524
MEDICA
—
01
—
080114800
RAILROAD
—
05
—
1014043
—
MN
01
—
27G42MA
BLUE CROSS MN FACILITY
MN
01
—
64Q34MA
BLUE CROSS MN PRO FEE
MN
05
—
692222800
—
WI
01
—
HP18067
HEALTHPARTNERS
—
01
—
NA9031014043
PREFERREDONE
—
Enumeration date
08/31/2006
Last updated
03/29/2021
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