Individual
ANDREW W BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
473 W OAKLAND AVE, PORT WASHINGTON, WI 53074-2119
(414) 870-2036
Mailing address
473 W OAKLAND AVE, PORT WASHINGTON, WI 53074-2119
(414) 870-2036
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
178603-30
WI
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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