person
Mr. Jacob D Anderson, PA-S
Student in an Organized Health Care Education/Training Program in Wausau, Wisconsin
NPI 1689307670

Jacob D Anderson is a Student in an Organized Health Care Education/Training Program based in Wausau, WI. Jacob D Anderson practices in Wausau, WI and has the professional credentials of PA-S. The NPI Number for Jacob D Anderson is 1689307670 and holds a License No. (Wisconsin).

The current practice location address for Jacob D Anderson is 4202 Indian Springs Dr, Wausau, WI and can be reached out via phone at 715-216-7553.

Location: 4202 Indian Springs Dr, Wausau, WI, 54401-4961
person
Provider Profile Details
NPI Number
1689307670
Provider Name
Jacob D Anderson
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
4202 Indian Springs Dr, Wausau, WI, 54401-4961
Phone Number
715-216-7553
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4202 Indian Springs Dr
City
State
Zip
54401-4961
Phone Number
715-216-7553
Fax Number
person
Provider Business Mailing Address Details
Address
4202 Indian Springs Dr
City
State
Zip
54401-4961
Phone Number
715-216-7553
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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