Individual
MR. JEFFREY E ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
5569 N 54TH ST, MILWAUKEE, WI 53218-3338
(414) 463-2270
Mailing address
5569 N 54TH ST, MILWAUKEE, WI 53218-3338
(414) 463-2270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126501
WI
163WH0200X
Home Health Registered Nurse
Primary
126501
WI
Other
Enumeration date
02/20/2007
Last updated
10/22/2007
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