Individual
ANDREA P DUTOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
984455 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5010
(507) 208-8157
Mailing address
19004 LAFAYETTE AVE, ELKHORN, NE 68022-1812
(507) 208-8157
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49973
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852608000
—
MN
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
WI
Enumeration date
07/03/2007
Last updated
10/18/2022
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