Individual
DR. SHAYLA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
62272
MN
390200000X
Student in an Organized Health Care Education/Training Program
AC3890313-T060
IL
Other
Enumeration date
07/17/2012
Last updated
07/21/2022
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