Individual
ANDREW TAYLOR PUTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
57658-20
WI
207Q00000X
Family Medicine Physician
72259
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
57658-20
WI
Other
Enumeration date
02/28/2006
Last updated
02/22/2016
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