Individual provider · NPI-1
Dr. Patrick C Andersen, D.C.
Chiropractor · Madison, WI
NPI number1730121583
StatusActive
Last updated in NPPESSep 30, 2008
Details
- NPI
- 1730121583
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patrick C Andersen
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Sep 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1411 | WI | Yes |
Practice location
6502 Normandy LnMadison, WI 53719-1082
Phone 608-833-1282 · Fax 608-833-5727
Mailing address
6502 Normandy LnMadison, WI 53719-1082
Phone 608-833-1282 · Fax 608-833-5727
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