Individual
TANNER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(507) 284-2511
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16620
ND
2085R0202X
Diagnostic Radiology Physician
Primary
60450
MN
Other
Enumeration date
04/18/2017
Last updated
01/22/2024
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