Individual
CHRISTINA K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44506
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300206
MEDICA HEALTH PLANS
—
01
—
07 25 2002
MMSI
—
01
—
070017209
RR MEDICARE C11369
—
01
—
1031188
PREFERRED ONE
—
01
—
116094000
MEDICAL ASSISTANCE
—
05
—
116094000
—
MN
01
—
142131
U CARE
—
01
—
1652898
ARAZ GROUP AMERICA'S PPO
—
01
—
260J8AN
BCBS
—
01
—
HP35615
HEALTH PARTNERS
—
Enumeration date
08/12/2005
Last updated
11/22/2011
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