Provider Demographics
NPI:1275645855
Name:ANDERSON, MARGARET DONKERS (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:DONKERS
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3200 WESTHILL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4706
Mailing Address - Country:US
Mailing Address - Phone:715-847-2019
Mailing Address - Fax:715-847-2668
Practice Address - Street 1:3200 WESTHILL DR
Practice Address - Street 2:SUITE 102
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4706
Practice Address - Country:US
Practice Address - Phone:715-847-2019
Practice Address - Fax:715-847-2668
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI36468208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32107600Medicaid
G03039Medicare UPIN
WI32107600Medicaid