Individual
MATTHEW J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
60766-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285922567
—
WI
01
—
P01753348
RAILROAD MEDICARE
WI
Enumeration date
07/20/2011
Last updated
01/19/2017
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