Shelly L Anderson M.D.

NPI 1073594966 - Family Medicine - 207Q00000X

NPI Details
NPI 1073594966
Gender Female
Enumeration Date 11/08/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1495 HWY 101 NORTH
PLYMOUTH MN, 55447, US
Phone (763) 476-6776
Fax
Business Location
5502 W BROADWAY AVE
SUITE 200
CRYSTAL MN, 55428-3508, US
Phone (763) 287-6500
Fax (763) 287-6544
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 33473
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According to our database, Dr. Shelly L Anderson M.D. NPI is 1073594966, taxonomy code is 207Q00000X and license number is 33473, license state is located at Minnesota. Shelly L Anderson M.D. physically located at 1495 Hwy 101 North, Plymouth MN, 55447. NPI Number Shelly L Anderson M.D. has the Individual type.

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1073594966 NPI number is provided on an as is basis without warranty of any kind. 1073594966 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly L Anderson M.D. are for informational purposes only.