Individual
ANDREW H RIKKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1753 W RIDGEWAY AVE STE 107, WATERLOO, IA 50701-4588
(319) 833-5907
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48190
WI
208600000X
Surgery Physician
Primary
DO-05746
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14028
DEAN HEALTH PLAN
—
01
—
2014477
PHYSICIANS PLUS
—
01
—
390808509
CIGNA
—
01
—
390808509DR
UNITY
—
01
—
43524200
HIRSP
—
05
—
43524200
—
WI
Enumeration date
10/03/2006
Last updated
03/09/2022
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