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Contact Information

IVY M ANDERSEN, MD
1836 SOUTH AVE
LA CROSSE, WI54601-5429
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for IVY M ANDERSEN · (Female)

NPI # 1013064997
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 04/10/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 37293
  • WI License # 50652
Hospital affiliation(s)
  • BOULDER COMMUNITY HOSPITAL - (Acute Care)
    4747 ARAPAHOE AVENUE
    BOULDER, CO 80304
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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