Individual
DR. ANJA NICOLE AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
315 W WISCONSIN AVE, APPLETON, WI 54911-4355
(920) 731-2211
Mailing address
837 KELLY RD, HUDSON, WI 54016-7640
(715) 410-4398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6000044-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
07/26/2025
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