Ingraham, Andrew Bradford

Ingraham, Andrew Bradford is an individual health care provider with primary practice located at 2600 Kiley Way , Plymouth WI 53073-5020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ingraham, Andrew Bradford can be contacted via phone (920) 449-7000.

Contact Information

Primary practice address
2600 Kiley Way Plymouth WI 53073-5020
Phone: (920) 449-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-45463 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R-10753 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 73536 Wisconsin

Profile Details

NPI number 1841642642
LBN Legal business name Ingraham, Andrew Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2016
Last updated Dec 6th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841642642 NPPES
Wisconsin MEDICAID 100100690

Popular Providers