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Individual
ANDREA LEIGH NELLERMOE KASTER
Active
Individual
ANDREA LEIGH NELLERMOE KASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13010
ND
207Q00000X
Family Medicine Physician
43686
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114428
MEDICA #
MN
01
—
0114429
MEDICA #
MN
01
—
0114436
MEDICA #
MN
01
—
137043
UCARE #
MN
05
—
18314
—
ND
01
—
1935876
AMERICA'S PPO/ARAZ #
MN
01
—
23613
NDBS #
MN
05
—
504199600
—
MN
01
—
71G46KA
MNBS #
FM
01
—
71G47KA
MNBS #
MN
01
—
71G48KA
MNBS #
MN
01
—
DA9041040454
PREFERRED ONE #
MN
01
—
HP39698
HEALTHPARTNERS #
MN
Enumeration date
06/09/2006
Last updated
05/07/2018
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