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Individual

DR. DANIELLE LOUISE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3421
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50640
WI
2084P0800X
Psychiatry Physician
D0064756
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34923900
WI
Enumeration date
01/27/2007
Last updated
10/12/2007
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