Individual
DANIEL R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 W HOMER ST, SUITE 202, SALEM, IN 47167-1698
(812) 883-5501
(812) 883-5513
Mailing address
505 W HOMER ST, SUITE 202, SALEM, IN 47167-1698
(812) 883-5501
(812) 883-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034968
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100255290A
—
IN
Enumeration date
04/13/2006
Last updated
04/29/2016
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