Dr JACK C ANDERSON MD is a male medical professional, specializing in Internal Medicine. He graduated in 1981 from University Of Wisconsin Medical School.
THEDACARE INCORPORATED
600 N WESTHAVEN DR
OSHKOSH
WI
549046926
Tel:
| Npi | 1992737522 |
| Pac Id | 2163444993 |
| Professional Enrollment Id | I20051221000437 |
| Last Name | ANDERSON |
| First Name | JACK |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | THEDACARE INCORPORATED |
| Group Practice Pac Id | 1759294887 |
| Number Of Group Practice Members | 478 |
| Line 1 Street Address | 600 N WESTHAVEN DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OSHKOSH |
| State | WI |
| Zip Code | 549046926 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 520045 |
| Hospital Affiliation Lbn 1 | THEDA CLARK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 520160 |
| Hospital Affiliation Lbn 2 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Hospital Affiliation Ccn 3 | 520009 |
| Hospital Affiliation Lbn 3 | ST ELIZABETH HOSPITAL |
| Hospital Affiliation Ccn 4 | 521334 |
| Hospital Affiliation Lbn 4 | RIVERSIDE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 521346 |
| Hospital Affiliation Lbn 5 | SHAWANO MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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