Individual
DALE ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CPRP
Contact information
Practice address
157 ROOSEVELT RD, SUITE 300, SAINT CLOUD, MN 56301-5478
(320) 240-3324
(320) 240-3339
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1544
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
169277
MN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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