Individual
MR. ALAN E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9905 45TH AVENUE NORTH, SUITE 110, PLYMOUTH, MN 55442-3315
(763) 595-8414
(763) 595-8414
Mailing address
9905 45TH AVENUE NORTH, SUITE 110, PLYMOUTH, MN 55442-3315
(763) 595-8414
(763) 595-8438
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018023800
—
MN
01
—
117109
UCARE MN
MN
01
—
2200080
MEDICA PRIMARY
MN
01
—
2201446
MEDICA CHOICE
MN
01
—
23979
HEALTH PARTNERS
MN
01
—
2499537
METROPOLITAN HEALTH PLAN
MN
01
—
410046879
RAILROAD MEDICARE
MN
01
—
51D66AN
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/19/2006
Last updated
11/10/2016
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