Glen F Anderson in Minneapolis - Pediatric Surgery

Glen F Anderson - NPI 1124089677

Glen F Anderson is a Pediatric Surgery in Minneapolis, Minnesota. Glen F Anderson practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Glen F Anderson is 1124089677. The last update date is 2012-08-08.

Glen F Anderson's current location address is 2530 Chicago Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128138000 and fax number 6128138005. The mailing address for Glen F Anderson is 2530 Chicago Ave, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen F Anderson
Address 2530 Chicago Ave, Minneapolis, Minnesota
Phone Number 6128138000
Fax Number 6128138005
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124089677
Provider Enumeration Date 2006-03-31
Last Updated Date 2012-08-08

Provider Mailing Address Detail

Address 2530 Chicago Ave
City Minneapolis
State Minnesota (MN)
Post Code 554044289
Phone Number 6128138000
Fax Number 6128138005

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No 26362
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
932303100 MN --

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FAQs about Glen F Anderson

What is the unique 10-digit identifier code issued to Glen F Anderson by the Centers for Medicare & Medicaid Services?

The Glen F Anderson has been assigned the NPI (National Provider Identifier) 1124089677 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Glen F Anderson is geographically located?

The Glen F Anderson is physically situated at the following location: 2530 Chicago Ave, Minneapolis, MN, 554044289.

What is Glen F Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Glen F Anderson's specialized field of practice is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0120X.

When did Glen F Anderson receive its 1124089677 assignment?

The Glen F Anderson was assigned its 1124089677 on 2006-03-31, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Glen F Anderson most recently updated or revised?

The information pertaining to Glen F Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-08.

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