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Dr. Jimmy G Anderson, DC
Chiropractor in Lake Elmo, Minnesota
NPI 1942369871

Jimmy G Anderson is a Chiropractor based in Lake Elmo, MN. Jimmy G Anderson practices in Lake Elmo, MN and has the professional credentials of DC. The NPI Number for Jimmy G Anderson is 1942369871 and holds a License No. 1217 (Minnesota).

The current practice location address for Jimmy G Anderson is 3394 Lake Elmo Avenue North, 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 North, Lake Elmo, MN, 55042-0831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942369871
Provider Name
Jimmy G Anderson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3394 Lake Elmo Avenue North, Lake Elmo, MN, 55042-0831
Phone Number
651-777-9757
Fax Number
651-777-9757
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0N362AN 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3394 Lake Elmo Avenue North
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 North
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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