Individual
DANNIELE S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-3269
Mailing address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-3269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002236
IA
Other
Enumeration date
09/06/2011
Last updated
01/24/2012
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