Individual
DR. TRENT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2012 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-2721
(520) 977-7834
Mailing address
13635 NORTHDALE BLVD, ROGERS, MN 55374-2142
(763) 276-6246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6051
MN
Other
Enumeration date
03/10/2015
Last updated
09/21/2015
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