Individual
PETER GEORGE ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-1000
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
524-017
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227328
—
WI
Enumeration date
01/26/2023
Last updated
04/04/2023
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