Sheila M Anderson, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Oshkosh, WI

NPI 1124036785 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124036785
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
30538 (WI)
Practice address
414 Doctors CT
Oshkosh, WI 54901
Phone
(920) 303-8700
Fax
(920) 303-5150
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-052562AOHMDObstetrics & Gynecology Physician
30538WIMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30538 WI Yes
Obstetrics & Gynecology Physician 207V00000X 35-052562A OH

Addresses

Primary practice location

414 Doctors CT
Oshkosh, WI 54901

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326

Other providers in Oshkosh, WI

All providers in Oshkosh, WI · Obstetrics & Gynecology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.