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Individual

ANDREW W O'SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7836 W JEFFERSON BLVD, SUITE 101, FORT WAYNE, IN 46804-4165
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01040936A
IN
207RN0300X
Nephrology Physician
35.068806
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200014900
IN
Enumeration date
05/20/2006
Last updated
05/27/2022
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