Gregory S Anderson D.O

NPI 1033140561 - General Practice - 208D00000X

NPI Details
NPI 1033140561
Gender Male
Enumeration Date 07/05/2006
Last Updated 02/21/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
BOX 497
RED LAKE MN, 56671-0497, US
Phone (218) 679-3912
Fax (218) 679-0181
Business Location
PO BOX 497
REDLAKE MN, 56671-0497, US
Phone (218) 679-3912
Fax (218) 679-0181
Taxonomy Code 208D00000X
License State Minnesota
License Number 32831
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According to our database, Dr. Gregory S Anderson D.O NPI is 1033140561, taxonomy code is 208D00000X and license number is 32831, license state is located at Minnesota. Gregory S Anderson D.O physically located at Hwy 1 Hospital Drive, Red Lake MN, 56671-0497. NPI Number Gregory S Anderson D.O has the Individual type.

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1033140561 NPI number is provided on an as is basis without warranty of any kind. 1033140561 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory S Anderson D.O are for informational purposes only.