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Individual

LAURA K. ANDRESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5000
(651) 714-1264
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-5000
(651) 714-1264

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12299
ND
207V00000X
Obstetrics & Gynecology Physician
48239
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
555150100
MN
Enumeration date
08/02/2006
Last updated
06/29/2012
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