Individual
ANDREA R CARBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 969-7906
(920) 969-7979
Mailing address
130 2ND ST, NEENAH, WI 54956-2883
(920) 969-7906
(920) 969-7979
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57157
WI
208M00000X
Hospitalist Physician
57157
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225357122
—
WI
Enumeration date
05/18/2010
Last updated
12/17/2020
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