Individual
DR. SHELLY L ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1495 HWY 101 NORTH, PLYMOUTH, MN 55447
(763) 476-6776
Mailing address
5502 W BROADWAY AVE, SUITE 200, CRYSTAL, MN 55428-3508
(763) 287-6500
(763) 287-6544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33473
MN
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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