Individual
DR. MICHAEL RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5200
Mailing address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101019507
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
61418
MN
Other
Enumeration date
07/06/2011
Last updated
07/21/2022
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