Individual
EMILY MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
701 PARK AVE, R1, MINNEAPOLIS, MN 55415-1623
(612) 873-3131
(612) 904-4242
Mailing address
914 S 8TH ST, S6, MINNEAPOLIS, MN 55404-1210
(612) 347-5320
(612) 373-1886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1511
MN
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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