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Individual

ANDREW CROWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
250 N CITY STATION DR, SUN PRAIRIE, WI 53590-4718
(651) 247-3086
Mailing address
250 N CITY STATION DR, SUN PRAIRIE, WI 53590-4718

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401417811
VA
1223P0221X
Pediatric Dentistry
Primary
6001155
WI
390200000X
Student in an Organized Health Care Education/Training Program
0442000385
VA

Other

Enumeration date
05/07/2020
Last updated
08/15/2023
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