Individual
DR. ERIC M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
516 MCCLELLAN STREET, WAUSAU, WI 54403-4844
(715) 834-2046
(715) 834-7563
Mailing address
1320 W CLAIREMONT AVE, SUITE 200, EAU CLAIRE, WI 54701
(715) 842-5577
(715) 845-8483
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1994-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39713500
—
WI
01
—
44426
NATIONAL REGISTER
WI
Enumeration date
11/08/2006
Last updated
07/08/2007
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