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Dr. Gregory S Anderson, DO
General Practice Physician in Red Lake, Minnesota
NPI 1033140561

Gregory S Anderson is a General Practice Physician based in Redlake, MN. Gregory S Anderson practices in Red Lake, MN and has the professional credentials of DO. The NPI Number for Gregory S Anderson is 1033140561 and holds a License No. 32831 (Minnesota).

The current practice location address for Gregory S Anderson is Hwy 1 Hospital Drive, Red Lake, MN and can be reached out via phone at 218-679-3912 and via fax at 218-679-0181.

Location: Hwy 1 Hospital Drive, Red Lake, MN, 56671-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033140561
Provider Name
Gregory S Anderson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Hwy 1 Hospital Drive, Red Lake, MN, 56671-0497
Phone Number
218-679-3912
Fax Number
218-679-0181
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34G00AN 01 MN BC/BS OF MN
476753500 05 MN
institution
Provider Business Practice Location Address Details
Address
Hwy 1 Hospital Drive
City
Red Lake
State
Minnesota
Zip
56671-0497
Phone Number
218-679-3912
Fax Number
218-679-0181
person
Provider Business Mailing Address Details
Address
Hwy 1 Hospital Drive
City
Red Lake
State
Minnesota
Zip
56671-0497
Phone Number
218-679-3912
Fax Number
218-679-0181
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
32831 (Minnesota)
Definition
Definition to come...
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