Individual
JULIE ANNE ANDERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2401 FAIRVIEW AVE N STE 145, ROSEVILLE, MN 55113-2710
(888) 290-1209
(833) 973-3529
Mailing address
57425 FAWN AVE, PINE CITY, MN 55063-9070
(122) 209-7426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1587
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41972000
—
WI
Enumeration date
12/28/2006
Last updated
07/23/2025
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