Individual
ANDRE N CERNASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
73405-21
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
73405-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2017
Last updated
11/30/2021
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