NPI 1073253522

Jack Anderson

Practitioner Hearing Instrument Specialist Mequon, WI

Practice location

Address: 11053 N Port Washington Rd, Mequon, WI 53092-5032
Phone: (262) 240-9629

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X

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Registry record

NPI: 1073253522
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.