Individual
ROBERT FREDRICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM,MD
Contact information
Practice address
12 ACME RD, SUITE #206, BREWER, ME 04412-1546
(207) 262-9562
(207) 262-9564
Mailing address
12 ACME RD, SUITE #206, BREWER, ME 04412-1546
(207) 262-9562
(207) 262-9564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
012968
ME
213E00000X
Podiatrist
Primary
POD1028
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010474554
MEDNET
ME
01
—
039571
ANTHEM BC BS
ME
01
—
3015281
AETNA
ME
05
—
433002600
—
ME
01
—
E89937
HARVARD PILGRIM
ME
Enumeration date
08/24/2006
Last updated
02/20/2012
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