Individual
ANDREW CEELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
(262) 329-1001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8081-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912498791
—
WI
Enumeration date
05/28/2018
Last updated
11/30/2021
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