Healthcare Provider Details

I. General information

NPI: 1285980441
Provider Name (Legal Business Name): ANDREW JAMES KAMIEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 N PROSPECT AVE
MILWAUKEE WI
53211-4445
US

IV. Provider business mailing address

2311 N PROSPECT AVE
MILWAUKEE WI
53211-4445
US

V. Phone/Fax

Practice location:
  • Phone: 414-319-3000
  • Fax:
Mailing address:
  • Phone: 414-319-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number61147-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number32110
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: