Individual
MR. ANDREW MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1455 HICKORY WAY, RACINE, WI 53405-1713
(262) 880-9561
Mailing address
1455 HICKORY WAY, RACINE, WI 53405-1713
(262) 880-9561
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2074-19
WI
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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