Individual
DR. SEAN E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 PARK NICOLLET BLVD, SAINT LOUIS PARK, MN 55416-2527
(952) 993-2100
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39721
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898820000
—
MN
Enumeration date
12/26/2005
Last updated
03/11/2021
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