David C. Anderholm, Md, Pa

NPI 1083725147 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083725147
Enumeration Date 08/31/2006
Last Updated 03/12/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID DAVID
Position OWNER
Phone (218) 454-0090
Fax (218) 454-0091
Practice Location
7115 FORTHUN RD
SUITE 105
BAXTER MN, 56425-8597, US
Phone (218) 454-0090
Fax (218) 454-0091
Business Location
7115 FORTHUN RD
SUITE 105
BAXTER MN, 56425-8597, US
Phone (218) 454-0090
Fax (218) 454-0091
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, David C. Anderholm, Md, Pa NPI is 1083725147, taxonomy code is 2084P0800X David C. Anderholm, Md, Pa physically located at 7115 Forthun Rd, Baxter MN, 56425-8597. NPI Number 1033115704 has the healthcare provider type.

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1083725147 NPI number is provided on an as is basis without warranty of any kind. 1083725147 is maintained by the National Plan & Provider Enumeration System. The contents of David C. Anderholm, Md, Pa are for informational purposes only.