Individual
DR. NATHAN JAMES ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
504 S. YELLOWSTONE LANE, MADISON, WI 53719
(847) 558-9155
Mailing address
504 S. YELLOWSTONE LANE, MADISON, WI 53719
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5544-12
WI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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