Individual
EVAN J ANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 563-3388
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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