Individual
ANDREW MARK MISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3645 S 20TH ST, MILWAUKEE, WI 53221-1510
(414) 332-9473
Mailing address
3645 S 20TH ST, MILWAUKEE, WI 53221-1510
(414) 332-9473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
146690-1
NY
208000000X
Pediatrics Physician
Primary
25659-020
WI
Other
Enumeration date
05/07/2007
Last updated
02/27/2013
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