Individual
ANDREW CHARLES OCKULY
Active
Individual
ANDREW CHARLES OCKULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
65557
MN
207X00000X
Orthopaedic Surgery Physician
71348-21
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
65557
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
71348-21
WI
Other
Enumeration date
07/02/2014
Last updated
01/21/2025
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