Individual
DR. WILLIAM H ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 CENTRAL AVE N, STE 220, WAYZATA, MN 55391-1206
(952) 993-8250
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30876
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191795100
—
MN
Enumeration date
12/26/2005
Last updated
06/20/2012
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