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Contact Information

MARY E ANDERSON, MD
N2950 STATE ROAD 67
LAKE GENEVA, WI53147
 Phone: 262-245-4990
 Fax: 262-245-2248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARY E ANDERSON · (Female)

NPI # 1487662060
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2006
Last updated 03/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036144926
  • WI Medicaid 1487662060
Hospital affiliation(s)
  • MERCY HEALTH SYS CORP - (Acute Care)
    1000 MINERAL POINT AVE
    JANESVILLE, WI 53548
  • MERCY WALWORTH HOSPITAL & MEDICAL CENTER - (Critical Access)
    N2950 STATE ROAD 67
    LAKE GENEVA, WI 53147
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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