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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB D ANDERSON, PA-S

Active Sole Proprietor

MR. JACOB D ANDERSON, PA-S is a Physician Assistant healthcare provider located in WAUSAU, Wisconsin. NPI 1689307670 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WAUSAU, WI

Registration Details

NPI Number
1689307670
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2022 (4.0690650858081 yrs)
Last Updated
Jul 9, 2024
License
798223 (WI)
Sole Proprietor
Yes

Practice Information

Address
4202 INDIAN SPRINGS DR
WAUSAU, WI, 544014961
Browse WI providers · Browse ZIP 54401
Phone
7152167553
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WAUSAU, WI

Name Credential NPI
MR. DAVID ALBERT NASH PA-C 1679573463
MRS. CARLA J HEIDEN PA C 1548248727
MS. KRISTIN R RUESCH P.A. - C 1578533949
JODY L WILKINS PA 1114989050
MR. AARON C WANISH PA-C 1720044340
MS. SUSAN C BROWN PA-C 1861446114
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.