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Individual

JOHN JAMES ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
559 BRAUND ST STE 3, ONALASKA, WI 54650-8659
(608) 783-7735
Mailing address
415 W WISCONSIN ST STE 4, SPARTA, WI 54656-2493
(608) 269-4511
(609) 269-8511

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3614-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350052230
RAILROAD MEDICARE
WI
05
38923500
WI
01
38993500
MEDICAID CLINIC NUMBER
WI
01
CB3715
RAILROAD MEDICARE GROUP
WI
Enumeration date
05/19/2006
Last updated
06/03/2026
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