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Contact Information

STEVEN K ANDERSON, MD
1717 UNIVERSITY DR S
FARGO, ND58103-4939
 Phone: 701-234-2305
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STEVEN K ANDERSON · (Male)

NPI # 1518991678
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 09/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A91472
  • MI License # 070074
  • MN License # 52921
  • ND License # 11456
  • ND License # LT 11456
  • MI Medicaid 4400978
  • ND Medicaid 11488
  • CA Other 00A914720 MEDI-CAL PPIN#
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
  • SANFORD MEDICAL CENTER FARGO - (Acute Care)
    801 BROADWAY NORTH
    FARGO, ND 58122
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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