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NPI Code Detail

MEDICARE: JAMES E ANDREWS JR. D.O.

MEDICARE:   JAMES E ANDREWS JR. D.O.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician45317MN
2208100000XPhysical Medicine & Rehabilitation Physician45317MN

General Provider Information

NPI Number : 1659309029
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E ANDREWS JR. D.O.
Provider Business Mailing Address
First Line : 111 17TH AVE E STE 101
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-5274
Country : US
Telephone Number : 320-762-1144
Fax Number : 320-762-1935
Provider Business Practice Location Address
First Line : 111 17TH AVE E STE 101
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-5274
Country : US
Telephone Number : 320-762-1144
Fax Number : 320-762-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 12/04/2024

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Directions to “ JAMES E ANDREWS JR. D.O.” Practice Location

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