Individual
MICHAEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 S MILL ST, BARRON, WI 54812-1342
(715) 637-1011
Mailing address
417 S MILL ST, BARRON, WI 54812-1342
(715) 637-1011
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
DC-082000806
WI
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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