Charlotte Marie Andersen MD

NPI 1023111606 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023111606
Gender Female
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
510 4TH STREET S
FARGO ND, 58107, US
Phone (701) 476-7200
Fax
Business Location
PO BOX 143
BADGER SD, 57214, US
Phone (605) 983-5087
Fax (605) 983-4796
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number MDR3657
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According to our database, Charlotte Marie Andersen MD NPI is 1023111606, taxonomy code is 2084P0800X and license number is MDR3657, license state is located at Missouri. Charlotte Marie Andersen MD physically located at 510 4th Street S, Fargo ND, 58107. NPI Number Charlotte Marie Andersen MD has the Individual type.

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1023111606 NPI number is provided on an as is basis without warranty of any kind. 1023111606 is maintained by the National Plan & Provider Enumeration System. The contents of Charlotte Marie Andersen MD are for informational purposes only.