Individual
MICHAEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MD, PHD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 624-4477
Mailing address
M136, 1ST FLOOR, EAST BUILDING, 8950A, 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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