Individual
DENNIS R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 389-4027
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32075
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31715700
—
WI
Enumeration date
08/21/2006
Last updated
07/08/2007
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