Individual provider · NPI-1

Andrea L Axtell, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Madison, WI

NPI number1437562584

StatusActive

Last updated in NPPESSep 20, 2023

Details

NPI: 1437562584
Entity type: Individual (NPI-1)
Name: Andrea L Axtell
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jun 6, 2014
Certification date: Sep 20, 2023
Last updated: Sep 20, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	81718	WI	Yes
204F00000X	Transplant Surgery	81718	WI
208600000X	Surgery	L-259165	MA

Practice location

600 Highland Ave
Madison, WI 53792-0001

Phone 608-263-8949

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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