Individual
DR. MARY ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 MAIN ST W, ASHLAND, WI 54806-1307
(715) 682-5601
(715) 682-6878
Mailing address
1001 MAIN ST W, ASHLAND, WI 54806-1307
(715) 682-5601
(715) 682-6878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28204
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28204
STATE LICENSE
WI
05
—
30806100
—
WI
Enumeration date
08/03/2006
Last updated
03/07/2023
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