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NPI Verification

National Provider Identifier: 1487662037

Keith R. Anclam, D.o.

Individual Provider

Credentials

D.O.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

323 S 18TH AVE

STURGEON BAY, WI 542351401

Phone: 920-746-0510

NPI Enumeration Date

August 3, 2006

NPI Number

1487662037

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Keith Anclam, D.o. - NPI 1487662037 | Provider Verification | HormoneMap