Individual
ERIC K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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