OrganizationActive
Anderson Medical Group, LLC
NPI 1700807716 · General Practice Physician · Maryville, IL
Provider details
- NPI number
- 1700807716
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Marshall, Ceo(618) 391-6402
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6810 State Route 162
Suite 215
Maryville, IL 62062-8501
Phone: (618) 288-5711
Fax: (618) 288-4088
Approximate (ZIP-level) locationGet directions
Mailing address
6810 State Route 162
Maryville, IL 62062-8501
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.