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Individual

MRS. SUSAN ANN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1395 JORDAN ST STE D, NORTH LIBERTY, IA 52317-4759
(319) 625-2225
(319) 625-2227
Mailing address
1395 JORDAN ST STE D, NORTH LIBERTY, IA 52317-4759
(319) 625-2225
(319) 625-2227

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05981
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151472
IA
01
58531
BCBS
IA
01
I9820
MEDICARE
IA
Enumeration date
04/13/2007
Last updated
07/29/2008
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