Provider Demographics
NPI:1053398966
Name:DAYER, ANNE M (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:M
Last Name:DAYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14275 MIDWAY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:11020 W PLANK CT
Practice Address - Street 2:SUITE 100
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3279
Practice Address - Country:US
Practice Address - Phone:414-476-8122
Practice Address - Fax:414-476-2975
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI30055207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31803400Medicaid
WI220031790Medicare PIN
WI017600031Medicare PIN
WI31803400Medicaid
WI162450013Medicare PIN
WI222950011Medicare PIN
WI682300028Medicare PIN
WI132700012Medicare PIN