Individual
DR. BRANDAN ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4132 30TH AVE S STE 102, FARGO, ND 58104-8407
(701) 241-7737
(701) 241-7738
Mailing address
4132 30TH AVE S STE 102, FARGO, ND 58104-8407
(701) 241-7737
(701) 241-7738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
697
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11729
—
ND
01
—
623049
MEDICAL HEALTH PARTNERS
MN
01
—
AND20256
BLUE CROSS BLUE SHIELD
ND
Enumeration date
07/11/2005
Last updated
10/04/2007
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