Individual
ANDREW G MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1065 N 115TH ST STE 120, OMAHA, NE 68154-4423
(402) 609-4818
(402) 502-4567
Mailing address
7755 3RD ST N STE 200, OAKDALE, MN 55128-5461
(715) 497-6101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38746
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102524
MEDICA
—
01
—
080114800
RAILROAD
—
05
—
1014043
—
MN
01
—
27G42MA
BLUE CROSS MN FACILITY
MN
01
—
64Q34MA
BLUE CROSS MN PRO FEE
MN
05
—
692222800
—
WI
01
—
HP18067
HEALTHPARTNERS
—
01
—
NA9031014043
PREFERREDONE
—
Enumeration date
08/31/2006
Last updated
03/29/2021
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