# ANDREW G MAYO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316059660
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 38746 | WI | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/29/2021

## 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 | — |