Individual
ANTHONY WYATT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102
(651) 952-9777
Mailing address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
(651) 952-9777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
60649
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
60649
MN
Other
Enumeration date
04/09/2008
Last updated
07/19/2022
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