Individual provider · NPI-1

Dr. Nathan James Andersen, DC

Chiropractor · Madison, WI

NPI number1023633757
StatusActive
Last updated in NPPESJun 9, 2020

Details

NPI
1023633757
Entity type
Individual (NPI-1)
Name
Dr. Nathan James Andersen
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2020
Certification date
Jun 9, 2020
Last updated
Jun 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor5544-12WIYes

Practice location

504 S. Yellowstone Lane
Madison, WI 53719

Phone 847-558-9155

Mailing address

504 S. Yellowstone Lane
Madison, WI 53719

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