Individual
BRIAN SETH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1220 CHATBURN AVE, HARLAN, IA 51537-2009
(712) 755-5130
Mailing address
1213 GARFIELD AVE, HARLAN, IA 51537-2057
(712) 755-5130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-336
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447231816
—
IA
Enumeration date
11/10/2005
Last updated
03/16/2017
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