MEDICARE: ANDREW J. SETER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1568660397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW J. SETER MD

Provider Business Mailing Address
First Line	:	108 W MAPLEWOOD CT
Second Line	:
City	:	MEQUON
State	:	WI
Zip	:	53092-5981
Country	:	US
Telephone Number	:	262-241-1893
Fax Number	:

Provider Business Practice Location Address
First Line	:	11414 W PARK PL
Second Line	:	STE. 100
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-3500
Country	:	US
Telephone Number	:	414-359-0800
Fax Number	:	414-359-9401

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MR. ANDREW J SETER
Credential	:
Telephone Number	:	262-241-1893

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	08/22/2020

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