Individual
ANDREW MICHAEL STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(805) 233-2279
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.079441
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2020
Last updated
05/23/2022
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