Individual
ANDREW LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 N 29TH ST, MILWAUKEE, WI 53208-3966
(414) 933-7689
(414) 933-9093
Mailing address
740 N 29TH ST, MILWAUKEE, WI 53208-3966
(414) 933-7689
(414) 933-9093
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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