Individual
JOSHUA ANDERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14665 MERCANTILE DR N, SUITE 100, HUGO, MN 55038-4559
(651) 204-5533
Mailing address
14665 MERCANTILE DR N, SUITE 100, HUGO, MN 55038-4559
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4656
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO4119
MEDICARE GROUP
MN
Enumeration date
03/18/2008
Last updated
03/18/2008
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