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Andrew Dewolf

NPI 1932504669 · on the registry since 2014 · sole proprietor

Practice

Address
1025 E 7th St
Bloomington, IN 47405
Phone
(503) 476-6989
Clinicians at this address
29

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-23

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 Indiana