Individual
PAUL RAYMOND ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1750 47TH AVE S, GRAND FORKS, ND 58201-7595
(701) 757-8700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(218) 683-2725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9547
MN
363A00000X
Physician Assistant
Primary
PAC0289
ND
Other
Enumeration date
06/30/2006
Last updated
04/16/2025
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