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Individual

ANDREW OW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11333 W NATIONAL AVE, MILWAUKEE, WI 53227-3111
(414) 329-7979
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(143) 294-9794

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1557
WI
207Q00000X
Family Medicine Physician
MD457362
PA

Other

Enumeration date
07/03/2012
Last updated
05/18/2022
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