# DR. ANDREW DEAN PAPENDIECK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992186829
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10992605-1205 | UT | — |
| 207Q00000X | Family Medicine Physician | 68000-020 | WI | — |
| 207Q00000X | Family Medicine Physician | 68000-20 | WI | — |
| 207Q00000X | Family Medicine Physician | BP10054213 | TX | — |
| 207Q00000X | Family Medicine Physician | DR.0061334 | CO | — |
| 207Q00000X | Family Medicine Physician | R3932 | TX | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100095277 | — | WI |
| 01 | — | 678385 | MEDICARE | TX |