Individual
MICHAEL ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
820 NE AARON DR, LEES SUMMIT, MO 64086-4937
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
12-00407
KS
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2012024470
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201116690A
—
KS
Enumeration date
07/17/2012
Last updated
12/09/2015
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