Individual
CANDYE RENEE ANDRUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 222-9777
Mailing address
3322 BLACKHAWK DR, MADISON, WI 53705-1478
(608) 233-1468
(608) 257-3842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31971200
—
WI
Enumeration date
06/02/2006
Last updated
07/08/2007
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