NPI
Mark C Anderson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- RPH
- Type
- Individual
- Enumeration date
- 2006-09-28
- Last updated
- 2023-03-07
Specialties
Licenses
- License WI
- 10955040
- License MN
- 1142750
Location
- Practice location
- 530 2nd St, Mickleson Drug Inc
- City
- Hudson WI
- Postal code
- 54016
- Phone
- (715) 386-3344
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Hudson, WI. 851 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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