Individual
BRIANNA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
(920) 907-7012
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
(920) 907-7012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
590-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039202
—
WI
Enumeration date
06/11/2014
Last updated
11/19/2021
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