Individual
DENNIS L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7165 CLEARVISTA PARKWAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01028537A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073550
—
IN
Enumeration date
05/16/2006
Last updated
08/31/2020
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