Individual
DR. ANTHONY W PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 364-3600
(920) 364-3900
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(920) 364-3600
(920) 364-3900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
28688
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31656500
—
WI
Enumeration date
02/21/2007
Last updated
11/08/2022
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