Individual
ANDREW LIVERMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6490
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 288-6490
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
10765982-1205
UT
207X00000X
Orthopaedic Surgery Physician
Primary
63149
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225472822
—
WI
Enumeration date
04/25/2013
Last updated
12/28/2022
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