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Contact Information

JONATHAN S ANDERSON, MD
2402 WINNEBAGO ST
MADISON, WI53704
 Phone: 608-242-6850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for JONATHAN S ANDERSON · (Male)

NPI # 1568696342
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2009
Last updated 03/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 55300
  • WI License # 55300-020
  • WI Medicaid 1568696342
Hospital affiliation(s)
  • UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY - (Acute Care)
    600 HIGHLAND AVENUE
    MADISON, WI 53792
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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