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Contact Information

GREGORY D ANDERSON, DC
120 E OAK ST
LAKE MILLS, WI53551-1243
 Phone: 920-648-2711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GREGORY D ANDERSON · (Male)

NPI Number 1699777680
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/10/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1410
  • WI Medicaid 38752200
Hospital affiliation(s) Not Available
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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