Individual
ERIC ANDRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701
(319) 233-0340
Mailing address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 233-0340
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD-44196
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2011
Last updated
06/14/2018
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