Individual
CHRISTA M ANDREWS-FIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54966
(715) 524-2161
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49676-020
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
49676
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010345003
MEDICARE PTAN
WI
Enumeration date
09/05/2006
Last updated
08/16/2017
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