Individual
ANDREA CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 YELLOWSTONE AVE STE 330, CODY, WY 82414
(307) 578-2770
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11313A
WY
207V00000X
Obstetrics & Gynecology Physician
155750
MA
207VG0400X
Gynecology Physician
155750
MA
Other
Enumeration date
02/06/2007
Last updated
10/05/2020
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