Individual
ANDREW FRANCIS CHARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
N168W22224 MAIN ST STE E, JACKSON, WI 53037-9321
(414) 507-6857
Mailing address
9318 KETTLE MORAINE DR, KEWASKUM, WI 53040-9748
(414) 507-6857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11601-146
WI
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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