Individual
ANDREW KANZENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 EDGEWOOD DR, GREEN BAY, WI 54311-5204
(920) 465-9977
Mailing address
830 EDGEWOOD DR, GREEN BAY, WI 54311-5204
(920) 465-9977
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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