THEODORE MICHAEL ANDERSON

SHEBOYGAN, WI
NPI1134178163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  4516015)
Enumeration Date2006-05-08
Last Update Date2009-01-06
Business Address
-- THEODORE MICHAEL ANDERSON DMD
3637 WILGUS AVENUE
SHEBOYGAN, WI 53081
Phone number: 920-458-8213
Mailing Address
-- THEODORE MICHAEL ANDERSON DMD
3637 WILGUS AVENUE
SHEBOYGAN, WI 53081
Phone number: 920-458-8213
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