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Keith Richard Anderson, DPM
Foot & Ankle Surgery Podiatrist in Hayward, Wisconsin
NPI 1902185051

Keith Richard Anderson is a Foot & Ankle Surgery Podiatrist based in Hayward, WI and is specialized in Foot & Ankle Surgery. Keith Richard Anderson practices in Hayward, WI and has the professional credentials of DPM. The NPI Number for Keith Richard Anderson is 1902185051 and holds a License No. 850 (Wisconsin).

The current practice location address for Keith Richard Anderson is 11040 N State Road 77, Hayward, WI and can be reached out via phone at 715-934-4321.

Location: 11040 N State Road 77, Hayward, WI, 54843-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902185051
Provider Name
Keith Richard Anderson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11040 N State Road 77, Hayward, WI, 54843-3606
Phone Number
715-934-4321
Fax Number
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11040 N State Road 77
City
Hayward
State
Wisconsin
Zip
54843-3606
Phone Number
715-934-4321
Fax Number
person
Provider Business Mailing Address Details
Address
11040 N State Road 77
City
Hayward
State
Wisconsin
Zip
54843-3606
Phone Number
715-934-4321
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
850 (Minnesota)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
1017-25 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
850 (Minnesota)
Definition
Definition to come...
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