Individual
DR. AMANDA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
(952) 857-1554
Mailing address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67922
MN
207P00000X
Emergency Medicine Physician
7948
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67922
—
MN
Enumeration date
06/27/2017
Last updated
07/24/2020
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