Individual
DR. PATRICK N ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6041 TELECOM DR, MILAN, TN 38358-3448
(731) 686-1505
(731) 686-8174
Mailing address
6041 TELECOM DR, MILAN, TN 38358-3448
(731) 686-1505
(731) 686-8174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3876140
MEDICARE
TN
05
—
3876140
—
TN
01
—
4058690
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
621142973
UNITED HEALTHCARE
TN
01
—
P00037726
RAILROAD MEDICARE
TN
Enumeration date
05/23/2005
Last updated
09/20/2010
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