Individual
JULIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3290 42ND AVE S, SAINT CLOUD, MN 56301
(320) 227-5000
(320) 227-5025
Mailing address
3290 42ND AVE S, SAINT CLOUD, MN 56301
(320) 227-5000
(320) 227-5025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43593
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050915900
—
MN
Enumeration date
06/30/2006
Last updated
07/21/2022
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