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Individual

MRS. LAUREL RUTH ANDERSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5975 CARMEN AVE, INVER GROVE HEIGHTS, MN 55076-4416
(651) 455-9697
(651) 455-2012
Mailing address
15739 NORELL AVE N, MARINE ON SAINT CROIX, MN 55047-9748
(651) 433-5961

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26627
MN

Other

Enumeration date
07/28/2005
Last updated
07/08/2007
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