Individual
DR. JON MYREN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
161 19TH ST S, SUITE 101, SARTELL, MN 56377-2153
(320) 253-0567
(320) 253-9968
Mailing address
161 19TH ST S, SUITE 101, SARTELL, MN 56377-2153
(320) 253-0567
(320) 253-9968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3265
MN
171100000X
Acupuncturist
512
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283523100
—
MN
01
—
39P49AN
BLUE CROSS BLUE SHEILD
MN
01
—
HP47389
HEALTH PARTNERS
MN
Enumeration date
07/13/2005
Last updated
04/03/2019
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