Individual provider · NPI-1

Derek Anderson, DO

Hospitalist · Fargo, ND

NPI number1003545435
StatusActive
Last updated in NPPESAug 8, 2025

Details

NPI
1003545435
Entity type
Individual (NPI-1)
Name
Derek Anderson
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2022
Certification date
Aug 8, 2025
Last updated
Aug 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist22168NDYes
207R00000X Internal Medicine18687ND

Practice location

5225 23rd Ave S
Fargo, ND 58104-7927

Phone 701-234-5933

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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