Individual
DR. DANA P ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SCHOOL ST, SUITE 107, GOWANDA, NY 14070-1133
(716) 241-7067
(833) 464-5024
Mailing address
1 SCHOOL ST, SUITE 107, GOWANDA, NY 14070-1133
(716) 241-7067
(833) 464-5024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01028468
—
NY
Enumeration date
11/02/2005
Last updated
08/31/2023
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