Individual
ANDREW JAMES RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 731-7445
Mailing address
1511 FERNANDO DR, DE PERE, WI 54115-9052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
688415
WI
Other
Enumeration date
07/13/2012
Last updated
01/24/2014
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