Organization
ANDERSON FAMILY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY ANDERSON D.C. (OWNER)
(715) 392-4883
Entity
Organization
Contact information
Practice address
2911 TOWER AVE, STE 4, SUPERIOR, WI 54880-5322
(715) 392-4883
(715) 392-4873
Mailing address
2911 TOWER AVE, STE 4, SUPERIOR, WI 54880-5322
(715) 392-4883
(715) 392-4873
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38872400
—
WI
Enumeration date
07/09/2006
Last updated
01/26/2009
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