Individual
MAREN NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
Mailing address
400 E 3RD ST, MSS 6AV1-PE, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66168
MN
390200000X
Student in an Organized Health Care Education/Training Program
66168
MN
Other
Enumeration date
05/03/2018
Last updated
08/25/2021
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