Andrea M Mattison is a Medical in Kenosha, Wisconsin. Andrea M Mattison practices all healthcare services and medical treatments related to Medical. The NPI Number for Andrea M Mattison is 1902852072. The last update date is 2016-09-13.
Andrea M Mattison's current location address is 3400 Market Ln, Kenosha, Wisconsin. You can contact this provider via phone number 2625514600 and fax number 2625514630. The mailing address for Andrea M Mattison is 3400 Market Ln, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea M Mattison |
|---|---|
| Address | 3400 Market Ln, Kenosha, Wisconsin |
| Phone Number | 2625514600 |
| Fax Number | 2625514630 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1902852072 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2016-09-13 |
Provider Mailing Address Detail
| Address | 3400 Market Ln |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531443430 |
| Phone Number | 2625514600 |
| Fax Number | 2625514630 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1391 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41928000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Andrea M Mattison by the Centers for Medicare & Medicaid Services?
The Andrea M Mattison has been assigned the NPI (National Provider Identifier) 1902852072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Andrea M Mattison is located?
The Andrea M Mattison is situated at the following address: 3400 Market Ln, Kenosha, WI, 531443430.
What is the area of specialization for Andrea M Mattison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Andrea M Mattison is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902852072 to Andrea M Mattison?
The Andrea M Mattison received its 1902852072 assignment from the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information related to Andrea M Mattison most recently updated or refreshed?
The details pertaining to the Andrea M Mattison, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-09-13.
NPI Number: 1962405878
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