Taleon, Andrea Q

Taleon, Andrea Q is an individual health care provider with primary practice located at 4303 Michigan Ave , Manitowoc WI 54220-3066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Taleon, Andrea Q can be contacted via phone (920) 320-4300.

Contact Information

Primary practice address
4303 Michigan Ave Manitowoc WI 54220-3066
Phone: (920) 320-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43187 Wisconsin

Profile Details

NPI number 1629182951
LBN Legal business name Taleon, Andrea Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 10th, 2012 - about 13 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 1629182951 NPPES
Wisconsin MEDICAID 208000000X
Wisconsin Other 1629182951

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