Individual
ANDY KIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-3390
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
64854
WI
207RC0000X
Cardiovascular Disease Physician
64854
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
64854
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100049511
—
WI
Enumeration date
04/01/2014
Last updated
03/01/2024
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