Individual
MR. DAVID LOREN ANDROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LP
Contact information
Practice address
1120 SOUTH AVE, NORTH MANKATO, MN 56003-3507
(507) 934-4160
(507) 934-4160
Mailing address
326 WALNUT ST, SAINT PETER, MN 56082-1442
(507) 934-4160
(507) 934-4160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3107
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
525225-300
MNCARE PROVIDER NUMBER
MN
Enumeration date
11/15/2006
Last updated
02/24/2017
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