Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME D ANDERSON, D.O.
ActiveAnatomic Pathology · MACOMB, IL
Registration Details
- NPI Number
- 1619955986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2006 (20.300159597981 yrs)
- Last Updated
- Jul 30, 2007
- Licenses
-
03039 (IA)36075427 (IL)
Practice Information
- Address
-
525 E GRANT STMACOMB, IL, 614553313Browse IL providers · Browse ZIP 61455
- Phone
- 3098372368
- Fax
- 3192330722
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
- Additional Specialty
- Anatomic Pathology
Other Anatomic Pathology Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| RICHARD C WATSON | M.D. | 1356329627 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.