Organization
ANDERSON HEARING CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DEAN ANDERSON AUDIOLOGIST (AUDIOLOGIST)
(218) 681-1193
Entity
Organization
Contact information
Practice address
302 3RD ST E, THIEF RIVER FALLS, MN 56701
(218) 681-1193
(218) 681-1193
Mailing address
302 3RD ST E, THIEF RIVER FALLS, MN 56701
(218) 681-1193
(218) 681-1193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5446
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63049AN
BCBS
MN
Enumeration date
10/02/2006
Last updated
08/22/2020
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