Individual
ERIC W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 635-9173
(651) 241-4041
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24938
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577575200
—
MN
Enumeration date
04/03/2006
Last updated
03/12/2015
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