Provider Demographics
NPI:1649224767
Name:ANDREWS, STEVEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36500 AURORA DR
Mailing Address - Street 2:AURORA MEDICAL CENTER SUMMIT
Mailing Address - City:SUMMIT
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4899
Mailing Address - Country:US
Mailing Address - Phone:262-434-1900
Mailing Address - Fax:262-434-1901
Practice Address - Street 1:36500 AURORA DR
Practice Address - Street 2:AURORA MEDICAL CENTER SUMMIT
Practice Address - City:SUMMIT
Practice Address - State:WI
Practice Address - Zip Code:53066-4899
Practice Address - Country:US
Practice Address - Phone:262-434-1900
Practice Address - Fax:262-434-1901
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI39969207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32445800Medicaid
002000226TOtherHUMANA
G71857Medicare UPIN
0028H73601Medicare ID - Type Unspecified