Jeffrey Dean Anderson in Milwaukee - Diagnostic Radiology
Jeffrey Dean Anderson - NPI 1073716072
Jeffrey Dean Anderson is a Diagnostic Radiology in Milwaukee, Wisconsin. Jeffrey Dean Anderson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey Dean Anderson is 1073716072. The last update date is 2018-10-01.
Jeffrey Dean Anderson's current location address is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148053700 and fax number 4148053777. The mailing address for Jeffrey Dean Anderson is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dean Anderson |
|---|---|
| Address | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4148053700 |
| Fax Number | 4148053777 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073716072 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2018-10-01 |
Provider Mailing Address Detail
| Address | 9200 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532263522 |
| Phone Number | 4148053700 |
| Fax Number | 4148053777 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 52902 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1073716072 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Dean Anderson by the Centers for Medicare & Medicaid Services?
The Jeffrey Dean Anderson has been issued the NPI (National Provider Identifier) 1073716072. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jeffrey Dean Anderson's facilities are geographically located?
The facilities of Jeffrey Dean Anderson are physically situated at the following location: 9200 W Wisconsin Ave, Milwaukee, WI, 532263522.
What is Jeffrey Dean Anderson's area of expertise and its corresponding taxonomy classification?
The Jeffrey Dean Anderson's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jeffrey Dean Anderson receive its 1073716072 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Dean Anderson was assigned its 1073716072 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date were the details related to Jeffrey Dean Anderson most recently updated or revised?
The information pertaining to Jeffrey Dean Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-01.