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NPI 1083000863

IndividualActive

Benjamin Andrew, M.D.

NPI 1083000863 · Surgery Physician · Summit, WI

Provider details

NPI number: 1083000863
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 66692-20 (WI)

Practice location

36500 Aurora Dr

Summit, WI 53066-4899

Phone: (262) 434-1000

More WI providers

Mailing address

Po Box 735044

Chicago, IL 60673-5044

Registry dates

Enumerated: 2015-04-08
Last updated: 2024-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Benjamin Andrew, M.D. — NPI 1083000863, Summit, WI | NPI Central