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Individual

DANIEL P ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1575 LOOKOUT DR, MANKATO CLINIC AT NORTH MANKATO, NORTH MANKATO, MN 56003
(507) 625-5027
Mailing address
PO BOX 8674, 1230 E MAIN ST, MANKATO, MN 56002-8674
(507) 625-1811

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33951
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101164
MEDICA
MN
01
080067570
RR MEDICARE
01
121157
UCARE
MN
05
121303200
MN
01
41084933956001C075
CHAMPUS
01
41215AN
BCBS
MN
01
597149
AMERICAS PPO
MN
01
HP24183
HEALTH PARTNERS
MN
01
NA2951023810
PREFERRED ONE
MN
Enumeration date
01/13/2006
Last updated
07/09/2020
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