Individual
DR. RANDY DAVID ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
980 ECHO DR SE, HUTCHINSON, MN 55350-3174
(320) 587-7400
Mailing address
980 ECHO DR SE, HUTCHINSON, MN 55350-3174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1903
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C919MC
BCBS
MN
05
—
62121400
—
MN
01
—
MEDICA
MEDICA
MN
Enumeration date
11/01/2006
Last updated
07/08/2007
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