Individual
JOHN W. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CENTER AVE S, MITCHELLVILLE, IA 50169-9765
(515) 967-1670
(515) 967-1670
Mailing address
112 CENTER AVE S, MITCHELLVILLE, IA 50169-9765
(515) 967-1670
(515) 967-1670
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
489DLC-386310
IA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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