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Individual
ANDREW M OSWALD
Active
Individual
ANDREW M OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
105262
IA
363A00000X
Physician Assistant
4989-23
WI
363AS0400X
Surgical Physician Assistant
105262
IA
363AS0400X
Surgical Physician Assistant
4989-23
WI
Other
Enumeration date
02/26/2020
Last updated
01/11/2021
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