Individual
ANDREW T THLIVERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 STONE CREST CIR, MADISON, WI 53717-1320
(000) 000-0000
Mailing address
22 STONE CREST CIR, MADISON, WI 53717-1320
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39603
WI
Other
Enumeration date
02/24/2006
Last updated
09/26/2023
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