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Contact Information

DAVID C ANDERHOLM, MD
7115 FORTHUN ROAD
SUITE 105
BAXTER, MN56425
 Phone: 218-454-0090
 Fax: 218-454-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for DAVID C ANDERHOLM · (Male)

NPI # 1528039682
Status Active
Credentials MD
Entity Individual
Enumeration date 01/27/2006
Last updated 06/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 34543
  • MN Medicaid 503580500
Hospital affiliation(s) Not Available
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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