Individual
DR. DANIEL KENT ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2382
(641) 236-2907
Mailing address
210 4TH AVE, MAB 3RD FLOOR, GRINNELL, IA 50112-1898
(641) 236-2382
(641) 236-2907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27178
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057802
—
IA
Enumeration date
11/10/2005
Last updated
07/08/2007
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