Individual
DR. BRIAN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
420 S KOELLER ST, STE 345, OSHKOSH, WI 54902-5593
(920) 235-7373
(920) 235-7713
Mailing address
420 S KOELLER ST, STE 345, OSHKOSH, WI 54902-5593
(920) 235-7373
(920) 235-7713
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2355012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38842700
—
WI
Enumeration date
06/12/2006
Last updated
10/03/2007
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