Individual
ANITA K. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 304-7019
(507) 389-4875
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 304-7019
(507) 389-4875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2086
MN
363AM0700X
Medical Physician Assistant
Primary
11571
MN
Other
Enumeration date
06/16/2014
Last updated
09/17/2020
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