Individual
MEGAN MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 OLSEN BLVD NE, COKATO, MN 55321-4359
(320) 286-2123
Mailing address
110 OLSEN BLVD NE, COKATO, MN 55321-4359
(320) 286-2123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12176
MN
Other
Enumeration date
06/23/2016
Last updated
03/11/2021
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