Anderson, Jeffrey Dean

Anderson, Jeffrey Dean is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Radiology, Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Anderson, Jeffrey Dean can be contacted via phone (414) 805-3700.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Radiology Milwaukee WI 53226-3522
Phone: (414) 805-3700
Fax: (414) 805-3777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8049 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52902 Wisconsin

Profile Details

NPI number 1073716072
LBN Legal business name Anderson, Jeffrey Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073716072 NPPES
Wisconsin MEDICAID 1073716072

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