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Individual
BRIAN D ANDERSON
Active
Individual
BRIAN D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-098957
IL
207Q00000X
Family Medicine Physician
Primary
036098957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098957
—
IL
01
—
048462
HEALTH ALLIANCE
—
01
—
20212
IOWA HEALTH SOLUTIONS
—
01
—
479890019
DMERC
—
01
—
90767
WELLMARK BC/BS
IA
01
—
IL01G3
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/16/2005
Last updated
01/16/2023
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