Individual
MR. TORSTEN WAINO ANDERSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 NE 241ST ST, DIXIE COUNTY HEALTH DEPARTMENT, CROSS CITY, FL 32628-5844
(352) 498-1360
(352) 498-1363
Mailing address
149 NE 241ST ST, CROSS CITY, FL 32628-5844
(352) 498-1360
(352) 498-1363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME21596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01988
BCBS
—
01
—
201376
AVMED
—
Enumeration date
03/23/2006
Last updated
07/08/2007
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