Individual
CHRISTIAN PETER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 HIGHWAY 96 W, SHOREVIEW, MN 55126
(651) 483-8283
(651) 483-8299
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25407
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330862600
—
MN
Enumeration date
08/02/2006
Last updated
07/16/2018
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