# JOHN B ANDELIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATHOLOGY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821248477
- **Authorized official:** DR. JOHN B ANDELIN MD (OWNER)
- **Authorized official phone:** (701) 572-3800

## Contact information

- **Practice address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Practice address phone:** (701) 572-3800
- **Practice address fax:** (701) 774-7402
- **Mailing address:** 201 2ND AVE W, WILLISTON, ND 58801-5920
- **Mailing address phone:** (701) 572-3800
- **Mailing address fax:** (701) 774-7402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 5162 | ND | Yes |

## Other

- **Enumeration date:** 09/19/2008
- **Last updated:** 09/19/2008