Individual
DR. THOMAS S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 439-5330
(651) 439-4528
Mailing address
1500 CURVE CREST BLVD W, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 439-1547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40536
MN
207Q00000X
Family Medicine Physician
43474
WI
208M00000X
Hospitalist Physician
Primary
40536
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016225600
—
MN
05
—
34098000
—
WI
Enumeration date
02/08/2006
Last updated
01/04/2011
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