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1740238393
MICHAEL J ANDERSON
MILWAUKEE, WI
NPI
1740238393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 17-023)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
-- MICHAEL J ANDERSON PA
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-7299
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Mailing Address
-- MICHAEL J ANDERSON PA
7071 S 13TH ST STE 104
OAK CREEK, WI 53154-1466
Phone number: 414-570-7106
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