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Individual

DR. ROBERT BENTLEY ANDERSON

Active
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Individual

DR. ROBERT BENTLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28119
NC
207X00000X
Orthopaedic Surgery Physician
29236-20
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
28119
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
29236-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100069495
WI
05
1326021288
NC
Enumeration date
11/23/2005
Last updated
03/10/2023
Update your record

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