Individual
MICHAEL WILLIAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
642 MARMOT DR, RIDGWAY, CO 81432-9484
(303) 619-3787
Mailing address
642 MARMOT DR, RIDGWAY, CO 81432-9484
(303) 619-3787
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37032
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56373384
—
CO
01
—
930071972
RR MEDICARE
CO
Enumeration date
02/17/2006
Last updated
02/23/2022
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