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1770766511
ANDREW CRAIG HANINGTON ERICKSON
KENOSHA, WI
NPI
1770766511
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Former Name
ANDRE HANINGTON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3192)
Enumeration Date
2007-12-16
Last Update Date
2021-12-01
Business Address
ANDREW CRAIG HANINGTON ERICKSON PA-C
1020 35TH ST
KENOSHA, WI 53140
Phone number: 262-652-3500
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Mailing Address
ANDREW CRAIG HANINGTON ERICKSON PA-C
1020 35TH ST
KENOSHA, WI 53140-1932
Phone number: 262-652-3500
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