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Individual

ANDREW SLEMP

Active
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Individual

ANDREW SLEMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
0101021693
VA
208600000X
Surgery Physician
0101-021693
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010020778
VA
05
010415705
VA
Enumeration date
03/24/2006
Last updated
08/19/2022
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