Individual
ERIC K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24791
WI
207Q00000X
Family Medicine Physician
24791
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000388
PHYSICIANS PLUS
—
01
—
10848
DEAN HEALTH PLAN
—
01
—
30610700
HIRSP
—
05
—
30610700
—
WI
01
—
390808509
CT GENERAL
—
01
—
39080850919
UNITY
—
01
—
690004890
MEDICARE RAILROAD
—
01
—
80055618
MEDICARE RAILROAD
—
01
—
90002361
WEA INS
—
Enumeration date
07/21/2006
Last updated
06/25/2024
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