Individual
NICOLE ANDERSON-WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967
(608) 827-7705
(608) 827-6107
Mailing address
1200 JOHN Q HAMMONS DR STE 100, MADISON, WI 53717-1967
(608) 827-7705
(608) 827-6107
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
52421
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03209574
—
MS
01
—
17868
STATE LICENSE NUMBER
MS
Enumeration date
07/18/2006
Last updated
07/28/2023
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