Mark W. Anderson in Grand Rapids - Addiction (substance Use Disorder)
Mark W. Anderson - NPI 1225215122
Mark W. Anderson is a Addiction (substance Use Disorder) in Grand Rapids, Minnesota. Mark W. Anderson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Mark W. Anderson is 1225215122. The last update date is 2008-01-23.
Mark W. Anderson's current location address is 1215 Se 7th Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183271105. The mailing address for Mark W. Anderson is 1215 Se 7th Ave, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W. Anderson |
|---|---|
| Address | 1215 Se 7th Ave, Grand Rapids, Minnesota |
| Phone Number | 2183271105 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADC |
NPI Number Detail
| NPI Number | 1225215122 |
|---|---|
| Provider Enumeration Date | 2008-01-23 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 1215 Se 7th Ave |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557444201 |
| Phone Number | 2183271105 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 302045 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84-10374 | MN | UBH | |
| 1021875 | MN | PREFERRED ONE | |
| 8199PNO | MS | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Mark W. Anderson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark W. Anderson has been assigned the NPI (National Provider Identifier) 1225215122. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mark W. Anderson is located?
The Mark W. Anderson is situated at the following address: 1215 Se 7Th Ave, Grand Rapids, MN, 557444201.
What is Mark W. Anderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark W. Anderson is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
When did Mark W. Anderson receive its 1225215122 assignment?
The Mark W. Anderson was assigned its 1225215122 on 2008-01-23, which is the date when this unique identifier was issued to the organization.
As of what date were the Mark W. Anderson's details last updated?
The information pertaining to the Mark W. Anderson, including its address, specialty, and other details, was most recently updated on 2008-01-23.