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NPI Code Detail

MEDICARE: VICTORIA ANDERSON MS, CGC

MEDICARE: VICTORIA ANDERSON MS, CGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)GC000200PA

General Provider Information

NPI Number : 1801210117
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA ANDERSON MS, CGC
Provider Business Mailing Address
First Line : 7410 W RAWSON AVE
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7410 W RAWSON AVE
Second Line :
City : FRANKLIN
State : WI
Zip : 53132-8274
Country : US
Telephone Number : 414-427-6230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2014
Last Update Date : 07/23/2015

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Directions to “ VICTORIA ANDERSON MS, CGC” Practice Location

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