Organization
BRANDAN ANDERSON LTD
Active
Other names
Anderson Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDAN ALAN ANDERSON DC (PRESIDENT)
(701) 241-7737
Entity
Organization
Contact information
Practice address
4132 30TH AVE S STE 102, FARGO, ND 58104-8407
(701) 241-7737
(701) 241-7738
Mailing address
4132 30TH AVE S STE 102, FARGO, ND 58104-8407
(701) 241-7737
(701) 241-7738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
697
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11729
—
ND
01
—
AND20256
BLUE CROSS BLUE SHIELD ND
ND
Enumeration date
12/19/2006
Last updated
10/03/2007
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