Organization
ANDERSON MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MARSHALL (CEO)
(618) 391-6402
Entity
Organization
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 215, MARYVILLE, IL 62062-8501
(618) 288-5711
(618) 288-4088
Mailing address
6810 STATE ROUTE 162, SUITE 215, MARYVILLE, IL 62062-8501
(618) 288-5711
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
08/13/2025
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