Individual
ANDY MICHAEL WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T(R), CV
Contact information
Practice address
1054 VINYARD DR, OREGON, WI 53575-3314
(608) 250-0550
Mailing address
1054 VINYARD DR, OREGON, WI 53575-3314
(608) 250-0550
Taxonomy
Speciality
Code
Description
License number
State
2471C1101X
Cardiovascular-Interventional Technology Radiologic Technologist
Primary
319217
MN
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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