Anderson, Keith Richard

Anderson, Keith Richard is an individual health care provider with primary practice located at 11040 N State Road 77 , Hayward WI 54843-3606. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Anderson, Keith Richard can be contacted via phone (715) 934-4321.

Contact Information

Primary practice address
11040 N State Road 77 Hayward WI 54843-3606
Phone: (715) 934-4321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 850 Minnesota
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1017-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 850 Minnesota
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1017-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 850 Minnesota
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1017-25 Wisconsin

Profile Details

NPI number 1902185051
LBN Legal business name Anderson, Keith Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated May 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers