Anderson, Mary Elizabeth

Anderson, Mary Elizabeth is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Mary Elizabeth can be contacted via phone (262) 245-4990.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147
Phone: (262) 245-4990
Fax: (262) 245-2248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101234004 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43101 Iowa
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 47166-20 Wisconsin

Profile Details

NPI number 1487662060
LBN Legal business name Anderson, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Oct 7th, 2022 - about 2 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 1487662060 NPPES
Wisconsin MEDICAID 1487662060

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