Individual
DR. MATTHEW JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10607 FRANCE AVE S, BLOOMINGTON, MN 55431-3539
(952) 881-5703
(952) 881-6871
Mailing address
10607 FRANCE AVE S, BLOOMINGTON, MN 55431-3539
(952) 881-5703
(952) 881-6871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2928
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258826900
—
MN
Enumeration date
06/06/2006
Last updated
07/27/2012
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