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Individual

MR. ANDREW LIEN PUNSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
1461 W MAIN ST STE F, WHITEWATER, WI 53190-1568
(262) 473-5599
(262) 473-8522

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6427-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36104900
WI
Enumeration date
07/20/2006
Last updated
06/03/2019
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