Organization
DAVID C. ANDERHOLM, MD, PA
Active
Other names
Northern Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT RICHELSON M.D. (DIRECTOR, PRESIDENT, SECRETARY, AND)
(904) 605-4986
Entity
Organization
Contact information
Practice address
7115 FORTHUN RD, SUITE 105, BAXTER, MN 56425-8597
(218) 454-0090
(218) 454-0091
Mailing address
7115 FORTHUN RD, SUITE 105, BAXTER, MN 56425-8597
(218) 454-0090
(218) 454-0091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503580500
—
MN
01
—
55A48AN
BCBS
MN
Enumeration date
08/31/2006
Last updated
03/15/2023
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