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Contact Information

ANTHONY P LUSSENHOP, MD
610 30TH AVE W
ALEXANDRIA CLINIC
ALEXANDRIA, MN56308
 Phone: 320-763-5123
 Fax: 320-763-7883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANTHONY P LUSSENHOP · (Male)

NPI Number 1669452074
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2006
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 35450
  • MN Medicaid 713063500
  • MN Other 080105723 RR MEDICARE
Hospital affiliation(s)
  • DOUGLAS COUNTY HOSPITAL - (Acute Care)
    111 17TH AVENUE EAST
    ALEXANDRIA, MN 56308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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