Individual
DR. ANDREW ERTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-2471
(608) 643-4788
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-2471
(608) 643-4788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000495
PTAN
—
05
—
100058595
—
WI
Enumeration date
06/21/2010
Last updated
07/21/2022
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