Individual
MR. CHARLES L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
230 S GRANT ST, FAIRMONT, MN 56031-3936
(507) 235-5323
Mailing address
230 S GRANT ST, FAIRMONT, MN 56031-3936
(507) 235-5323
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
00487
IA
237700000X
Hearing Instrument Specialist
Primary
2080
MN
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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