Individual
STEVEN P. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9400 W LINCOLN AVE, SUITE A, WEST ALLIS, WI 53227-2306
(414) 321-2255
(414) 321-2091
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31419
WI
207X00000X
Orthopaedic Surgery Physician
Primary
31419
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31614700
—
WI
01
—
P00705295
RR MEDICARE
WI
Enumeration date
07/28/2006
Last updated
06/22/2022
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