Individual
SUSAN M ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-6157
(320) 839-4049
Mailing address
450 EASTVOLD AVE, ORTONVILLE, MN 56278-1252
(320) 839-6157
(320) 839-4049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57160
MN
Other
Enumeration date
04/19/2010
Last updated
09/09/2014
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