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Jimmy G. Anderson, D.c.
Chiropractor in Lake Elmo, Minnesota
NPI 1043217433

Jimmy G. Anderson, D.c. is a Chiropractor based in Lake Elmo, MN. Jimmy G. Anderson, D.c. practices in Lake Elmo, MN. The NPI Number for Jimmy G. Anderson, D.c. is 1043217433 and holds a License No. 1217 (Minnesota).

The current practice location address for Jimmy G. Anderson, D.c. is 3394 Lake Elmo Avenue, Lake Elmo, MN and can be reached out via phone at 651-777-9757 and via fax at 651-777-9757.

Location: 3394 Lake Elmo Avenue, Lake Elmo, MN, 55042-0831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043217433
Provider Name
Jimmy G. Anderson, D.c.
Credential
Provider Entity Type
Organization
Address
3394 Lake Elmo Avenue, Lake Elmo, MN, 55042-0831
Phone Number
651-777-9757
Fax Number
651-777-9757
Provider Enumeration Date
06/30/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20135AN 01 MN BCBS
ON362AN 01 MN BCBS
766225400 05 MN
institution
Provider Business Practice Location Address Details
Address
3394 Lake Elmo Avenue
City
Lake Elmo
State
Minnesota
Zip
55042-0831
Phone Number
651-777-9757
Fax Number
651-777-9757
person
Provider Business Mailing Address Details
Address
3394 Lake Elmo Avenue
City
Lake Elmo
State
Minnesota
Zip
55042-0831
Phone Number
651-777-9757
Fax Number
651-777-9757
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1217 (Minnesota)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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