Eric A Andersen MD

NPI 1073517959 - Pediatrics - 208000000X

NPI Details
NPI 1073517959
Gender Male
Enumeration Date 06/09/2005
Last Updated 02/02/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
800 E 1ST ST
SUITE 1200
ANKENY IA, 50021-2078, US
Phone (515) 643-9000
Fax (515) 643-7509
Business Location
PO BOX 1475
DES MOINES IA, 50305-1475, US
Phone (515) 643-9000
Fax (515) 643-7509
Toxanomy
Taxonomy Code 208000000X
License State Wisconsin
License Number 38910
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According to our database, Dr. Eric A Andersen MD NPI is 1073517959, taxonomy code is 208000000X and license number is 38910, license state is located at Wisconsin. Eric A Andersen MD physically located at 800 E 1st St, Ankeny IA, 50021-2078. NPI Number Eric A Andersen MD has the Individual type.

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1073517959 NPI number is provided on an as is basis without warranty of any kind. 1073517959 is maintained by the National Plan & Provider Enumeration System. The contents of Eric A Andersen MD are for informational purposes only.