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Individual

ANDREW THOMAS SLOEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2901 W KINNICKINNIC RIVER PKWY STE 507, MILWAUKEE, WI 53215-3660
(414) 649-3780
(414) 649-3794
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5459
WI
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100177510
WI
Enumeration date
05/27/2021
Last updated
08/07/2024
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