Individual
MICHAEL E MCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
368 BIELBY RD, SUITE 100, LAWRENCEBURG, IN 47025-2774
(812) 537-5772
(812) 537-3936
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01044092A
IN
208600000X
Surgery Physician
35075385M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031317
ANTHEM
—
01
—
0657518
AETNA
—
01
—
116308
ANTHEM MEDICAID MCO
IN
01
—
1701543
UNITED HEALTHCARE
—
05
—
200064060A
—
IN
01
—
5349807001
CIGNA
—
01
—
N44092
HUMANA CHOICE CARE
—
Enumeration date
08/03/2005
Last updated
11/05/2020
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