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Individual

SAVANNAH AANDERUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2315 MYRTLE ST, ERIE, PA 16502-4602
(814) 452-7300
Mailing address
2315 MYRTLE ST STE 290, ERIE, PA 16502-4609
(814) 452-7300
(814) 452-5015

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MA063843
PA
208D00000X
General Practice Physician
MA063843
PA
363AM0700X
Medical Physician Assistant
Primary
MA063843
PA

Other

Enumeration date
08/11/2022
Last updated
11/05/2022
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