Individual provider · NPI-1

Niels C Andersen, MD

Family Medicine · Marshfield, WI

NPI number1699883975
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1699883975
Entity type
Individual (NPI-1)
Name
Niels C Andersen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine29235WIYes

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5777

Phone 715-387-5168

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5777

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