Individual
CRAIG B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7373 FRANCE AVENUE S, STE 302, EDINA, MN 55435-4538
(952) 896-3166
(952) 896-9853
Mailing address
7373 FRANCE AVENUE S, STE 302, EDINA, MN 55435-4538
(952) 896-3166
(952) 896-9853
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
31433
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000017
MEDICA PRIMARY
—
01
—
1022621
MEDICA CHOICE
—
01
—
20953
ARAZ AMERICAN PPO
—
01
—
31433
LICENSE #
—
01
—
HP12793
HEALTHPARTNERS
—
01
—
ID718AN
BCBS
—
01
—
XX1410822004
PREFERRED ONE
—
Enumeration date
11/17/2006
Last updated
07/08/2007
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