Individual
JANE E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
(608) 755-7873
Mailing address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
(608) 755-7873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44774-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942220140
—
WI
Enumeration date
07/20/2006
Last updated
04/03/2013
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