Individual
ANDREW C. MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71417-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619242005
—
WI
Enumeration date
03/19/2012
Last updated
08/26/2019
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