Provider Demographics
NPI:1205921509
Name:DUERR, ANDREW A (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:DUERR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1008 BOLL WEEVIL CIR
Mailing Address - Street 2:SUITE D
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-1312
Mailing Address - Country:US
Mailing Address - Phone:334-347-0639
Mailing Address - Fax:334-347-1021
Practice Address - Street 1:1008 BOLL WEEVIL CIR
Practice Address - Street 2:SUITE D
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-1312
Practice Address - Country:US
Practice Address - Phone:334-347-0639
Practice Address - Fax:334-347-1021
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-10-29
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Provider Licenses
StateLicense IDTaxonomies
AL25234208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51599852OtherBLUE CROSS BLUE SHIELD OF ALABAMA
AL113148Medicaid
AL102I931824Medicare PIN
E28521Medicare UPIN