Individual
MR. MICHAEL J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1600 ACADEMY AVE, STEVENS POINT, WI 54481-1147
(715) 341-6102
(715) 254-0016
Mailing address
1411 17TH ST S, WISCONSIN RAPIDS, WI 54494-5457
(715) 423-5922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10101
WI
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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