Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Anderson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750648481

Paul Anderson is an Anesthesiology in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2012, 14 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301
Phone: (920) 433-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 61713-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750648481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESJune 27, 2018
Mailing address225 S Executive Dr, Brookfield, WI 53005-4257

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2012 (14 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Green Bay