Provider Demographics
NPI:1679842553
Name:ANDERSON, CHRISTOPHER R (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 VIKING DR
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-1675
Mailing Address - Country:US
Mailing Address - Phone:608-524-2616
Mailing Address - Fax:608-524-3697
Practice Address - Street 1:420 VIKING DR
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1675
Practice Address - Country:US
Practice Address - Phone:608-524-2616
Practice Address - Fax:608-524-3697
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4809-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor