Individual
DR. EMILY ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, NMD, IBDM
Contact information
Practice address
1813 WILSON ST, MENOMONIE, WI 54751-1406
(715) 600-9004
Mailing address
1813 WILSON ST, MENOMONIE, WI 54751-1406
(715) 600-9004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13029
MN
1223G0001X
General Practice Dentistry
Primary
6724-15
WI
1223G0001X
General Practice Dentistry
DN 18986
FL
Other
Enumeration date
06/27/2010
Last updated
12/13/2022
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