Individual
DR. STEVEN KENT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 234-2305
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
070074
MI
207W00000X
Ophthalmology Physician
11456
ND
207W00000X
Ophthalmology Physician
Primary
52921
MN
207W00000X
Ophthalmology Physician
A91472
CA
207W00000X
Ophthalmology Physician
LT 11456
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A914720
MEDI-CAL PPIN#
CA
05
—
11488
—
ND
05
—
4400978
—
MI
Enumeration date
07/11/2006
Last updated
09/01/2023
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