Individual
JONATHAN S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704
(608) 242-6850
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55300-020
WI
208M00000X
Hospitalist Physician
55300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568696342
—
WI
Enumeration date
05/08/2009
Last updated
03/09/2021
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