Individual
BENJAMIN G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Mailing address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2245
(715) 832-1400
(715) 832-4187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1639
WI
363LF0000X
Family Nurse Practitioner
Primary
1639
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43909300
—
WI
Enumeration date
04/04/2006
Last updated
01/17/2022
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