Individual
ROBERT CLIFTON ANDERSON
Active
Individual
ROBERT CLIFTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
45910
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364G9AN
BLUE SHIELD
MN
05
—
988178600
—
MN
01
—
P00235749
RAILROAD MEDICARE
MN
Enumeration date
08/29/2006
Last updated
10/04/2013
Update your record
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