Individual
DR. SCOTT ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Mailing address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38394-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38394-20
WI LICENSE
WI
Enumeration date
07/27/2006
Last updated
09/04/2013
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