Individual
JAMES R ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 826-2710
Mailing address
PO BOX 678268, DALLAS, TX 75267-8268
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35205
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32017900
—
WI
Enumeration date
01/20/2006
Last updated
12/21/2020
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