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Individual
RENATA M ANDERSON
Active
Individual
RENATA M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3615-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350050305
RAILROAD MEDICARE
WI
05
—
38924400
—
WI
01
—
CB3715
RAILROAD MEDICARE GROUP
—
Enumeration date
09/15/2006
Last updated
06/04/2026
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