Individual
DR. ANDREW KYLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7300
Mailing address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50089
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35296600
—
WI
01
—
50089-20
WI LICENSE
WI
Enumeration date
01/19/2007
Last updated
11/18/2021
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