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Individual

ERIK P ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2720 PLAZA DR, SUITE 1400, WAUSAU, WI 54401-4158
(715) 847-2004
Mailing address
PO BOX 8004, WAUSAU, WI 54402-8004
(715) 847-2304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36467
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32126900
WI
Enumeration date
08/03/2006
Last updated
12/07/2009
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