IndividualActive
Keith Anderson, D.P.M.
NPI 1902185051 · Foot & Ankle Surgery Podiatrist · Hayward, WI
Provider details
- NPI number
- 1902185051
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 850 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Practice location
11040 N State Road 77
Hayward, WI 54843-3606
Phone: (715) 934-4321
Approximate (ZIP-level) locationGet directions
Mailing address
11040 N State Road 77
Hayward, WI 54843-3606
Registry dates
- Enumerated
- 2011-08-08
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.