Individual
ANDREW ASBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1035 PLEASANT ST, BELOIT, WI 53511-4468
(262) 441-1116
Mailing address
1035 PLEASANT ST, BELOIT, WI 53511-4468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323549
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323549
—
WI
Enumeration date
04/09/2019
Last updated
04/09/2019
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