Individual
ERIC THOR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3200 W CENTRE AVE, PORTAGE, MI 49024-4889
(269) 324-0799
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007-0714
(269) 341-6417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704257204
MI
Other
Enumeration date
11/13/2017
Last updated
03/07/2023
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