Individual
DR. MICHAEL ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3031 S RUSSELL ST, STE 2, MISSOULA, MT 59801-8540
(406) 721-9996
(406) 327-6702
Mailing address
3031 S RUSSELL ST, STE 2, MISSOULA, MT 59801-8540
(406) 721-9996
(406) 327-6702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
602
MT
111NS0005X
Sports Physician Chiropractor
602
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40150
BLUE CROSS BLUE SHIELD MT
MT
Enumeration date
01/10/2007
Last updated
12/18/2007
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