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Contact Information

GERALD ANDERSON
14040 81ST AVE N
MAPLE GROVE, MN55311-2250
 Phone: 763-657-1502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GERALD ANDERSON · (Male)

NPI Number 1659402477
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2007
Last updated 05/05/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # D10424
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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