Individual
MR. ANDREW THOMAS FESSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1850 11TH ST, FENNIMORE, WI 53809-1612
(608) 822-6100
(608) 822-3011
Mailing address
1340 BIRCHWOOD LN, HAZEL GREEN, WI 53811-9335
(608) 748-5335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03505
IA
225100000X
Physical Therapist
Primary
9514-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40341500
—
WI
Enumeration date
01/02/2008
Last updated
01/02/2008
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