Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Mark Widmer, MDPHD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1053871103

Dr. Andrew Mark Widmer, MDPHD is a Neurology in Madison, Wisconsin. Qualified in 2019, 7 years ago. Licensed in Illinois and Wisconsin.

Years since qualifying
7
Licensed in
IL, WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-5448
Fax: (608) 263-5448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 85937-20 (WI)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 036.177455 (IL)

Record details

NPI number1053871103
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMarch 24, 2019
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address1685 Highland Ave, Madison, WI 53705-2281

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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