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DR. STEVEN K. ANDERSON DDS

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1265587497

Individual Registrant:
DR. STEVEN K. ANDERSON DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1203 8TH ST  BARABOO, WI 53913-1805 US
Tel: 608-356-2112  Fax: 608-356-0919

Contact information for business:
1203 8TH ST  BARABOO, WI 53913-1805 US
Tel: 608-356-2112  Fax: 608-356-0919

Registration Information:
NPI: 1265587497
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
WI5055-015

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEANCARE PROVIDER #1188701
PHYSICIANS PLUS PROV #102301101
33749600WI05




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