Anderson, Michael R
Anderson, Michael R is an individual health care provider with primary practice located at 512 Wilcox St , Fort Atkinson WI 53538-1254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Anderson, Michael R can be contacted via phone (920) 563-6667.Contact Information
Primary practice address
512 Wilcox St
Fort Atkinson WI 53538-1254
Phone: (920) 563-6667
Fax: (920) 563-0145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 45652-020 | Wisconsin |
Profile Details
| NPI number | 1588685077 |
|---|---|
| LBN Legal business name | Anderson, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588685077 | NPPES |
| Wisconsin | MEDICAID | 34399400 |
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