Individual
JAY MARCUS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 9TH ST SE, ROCHESTER, MN 55904-6768
(507) 288-3443
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020750
MI
207R00000X
Internal Medicine Physician
Primary
63242
MN
Other
Enumeration date
06/28/2013
Last updated
01/22/2018
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