Andryk, Jolene E.

Andryk, Jolene E. is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Andryk, Jolene E. can be contacted via phone (262) 387-8200.

Contact Information

Primary practice address
12203 Corporate Pkwy Mequon WI 53092-3388
Fax: (262) 387-8271
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 37943 Wisconsin
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 37943 Wisconsin

Profile Details

NPI number 1326074196
LBN Legal business name Andryk, Jolene E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Nov 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326074196 NPPES
Wisconsin MEDICAID 33345200
Wisconsin Other P00679656

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