Provider Demographics
NPI:1477817351
Name:ZANE, ANDREW JASON (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JASON
Last Name:ZANE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 70520
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-0520
Mailing Address - Country:US
Mailing Address - Phone:262-240-0841
Mailing Address - Fax:262-240-0841
Practice Address - Street 1:3201 S 16TH ST STE 2015
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215
Practice Address - Country:US
Practice Address - Phone:262-240-0841
Practice Address - Fax:262-240-0841
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2018-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI61413-20207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease