Individual
DOROTHY LORRAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 6TH STREET SE, WOODLAND CENTERS, WILLMAR, MN 56201-4675
(320) 231-9148
(320) 231-9140
Mailing address
2558 271 AVE, MADISON, MN 56256
(320) 235-4613
(320) 231-9140
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
24937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031430
PREFERRED ONE
—
01
—
142807
UCARE
—
01
—
15 57863
UBH
—
01
—
51M11AN
BLUE CROSS
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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