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Search › Wisconsin › 124Q00000X

Andrea Martin

NPI 1386057099 · on the registry since 2014 · sole proprietor

Practice

Address
330 Court St
Eagle River, WI 54521
Phone
(715) 479-3656
Organisation at this address
County Of Vilas
Vilas County Dept Of Social Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin