Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 38886-020 | WI |
NPI | 1114036092 |
---|---|
Provider Name | Dr. Andrew V Beykovsky |
First Address | Milwaukee, WI 53211-4508 |
Second Address | Milwaukee, WI 53211-4508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 12/01/2021 |