Individual
MICHELLE ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W180N8000 TOWN HALL RD, UROLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Mailing address
W180N8000 TOWN HALL RD, UROLOGY, MENOMONEE FALLS, WI 53051-4002
(262) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36876
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900084
UNITED
WI
05
—
1992793327
—
WI
05
—
32622800
—
WI
01
—
391126660
CORP TAX ID
WI
Enumeration date
10/10/2005
Last updated
06/07/2016
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