Individual
JOHN L ANDRESHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HOSPITAL PL STE 104, SOLDOTNA, AK 99669-7559
(907) 714-5770
(907) 714-3111
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-5770
(907) 714-3111
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
036087072
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MEDS6826
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01141220
MEDICARE RR
IL
Enumeration date
10/21/2005
Last updated
10/14/2022
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