Individual
DR. WAYNE J ANDREUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5017 GREEN BAY RD, STE 136, KENOSHA, WI 53144-1782
(262) 652-6121
(262) 652-2026
Mailing address
5017 GREEN BAY RD, STE 136, KENOSHA, WI 53144-1782
(262) 652-6121
(262) 652-2026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001446-15
WI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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