Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH RICHARD ANDERSON, D.P.M.
ActiveKEITH RICHARD ANDERSON, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in HAYWARD, Wisconsin. NPI 1902185051 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · HAYWARD, WI
Registration Details
- NPI Number
- 1902185051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2011 (14.827254070106 yrs)
- Last Updated
- May 18, 2021
- Licenses
-
850 (MN)1017-25 (WI)850 (MN)1017-25 (WI)850 (MN)
Practice Information
- Address
-
11040 N STATE ROAD 77HAYWARD, WI, 548433606Browse WI providers · Browse ZIP 54843
- Phone
- 7159344321
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
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.