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Individual
MR. MICHAEL RICHARD ANDERSON
Active
Individual
MR. MICHAEL RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12676
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029836
PREFERRED ONE
—
01
—
116597
UCARE MINNESOTA
MN
01
—
17763
BCBS OF ND
ND
01
—
6248695
UBH MEDICA
—
01
—
9H593AN
BCBSBHSI
MN
01
—
HP28518
HEALTH PARTNERS
—
Enumeration date
03/18/2006
Last updated
07/13/2026
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