Individual
ANDREW R MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55704
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016026
—
WI
Enumeration date
04/08/2008
Last updated
07/06/2025
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