Individual
CODY MICHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351045617
MI
2085R0202X
Diagnostic Radiology Physician
Primary
67698
MN
2085R0202X
Diagnostic Radiology Physician
RP30597
MN
Other
Enumeration date
06/28/2019
Last updated
07/09/2025
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