Most Relevant Information
Provider Data
| NPI Number: | 1003179839 |
| Provider Name: | ANDREA L BEQUEST PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 2952-23 |
Most Important Dates
| Enumeration Date: | 06/18/2012 |
| Last Updated: | 03/15/2023 |
Provider Practice Location
9200 W WISCONSIN AVE
INTERNAL MEDICINE
MILWAUKEE
WI
532263522
Practice Location Phone/Fax
| Phone: | 4149550350 |
| Fax: | 4148056851 |
Provider Mailing Location
9200 W WISCONSIN AVE
INTERNAL MEDICINE
MILWAUKEE
WI
532263522
Provider Mailing Phone/Fax
| Phone: | 4149550350 |
| Fax: | 4148056851 |