Individual
STEVEN DUANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 BANDANA BLVD E, SAINT PAUL, MN 55108-5113
(651) 241-9700
(612) 798-8833
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758178500
—
MN
Enumeration date
03/28/2006
Last updated
11/04/2020
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