Munoz, Andrea L.

Munoz, Andrea L. is an individual health care provider with primary practice located at 13850 W Capitol Dr , Brookfield WI 53005-2422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Munoz, Andrea L. can be contacted via phone (262) 790-1118.

Contact Information

Primary practice address
13850 W Capitol Dr Brookfield WI 53005-2422
Fax: (262) 790-2070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34546 Wisconsin

Profile Details

NPI number 1164452298
LBN Legal business name Munoz, Andrea L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 24th, 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 1164452298 NPPES
Wisconsin MEDICAID 32118400

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