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Individual

MARYPAT OLSETH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
600 MAYWOOD AVE, 21 CARKOSKI COMMONS, MANKATO, MN 56001-7008
(507) 389-6276
(507) 389-5787
Mailing address
600 MAYWOOD AVE, 21 CARKOSKI COMMONS, MANKATO, MN 56001-7008
(507) 278-3858

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38776
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-18458
MEDICA
MN
01
120311
UCARE
MN
01
564R5AN
BCBS
MN
Enumeration date
11/18/2005
Last updated
01/27/2022
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