Individual
DR. ANDREW P BANIUKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Mailing address
10625 W NORTH AVE, 102, MILWAUKEE, WI 53226-2315
(414) 877-5350
(414) 877-5360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43022-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34076600
—
WI
Enumeration date
05/15/2006
Last updated
04/06/2017
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