Individual provider · NPI-1

Dr. James Lee Anderson, MD

Pediatrics, Adolescent Medicine · Duluth, MN

NPI number1275657348
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1275657348
Entity type
Individual (NPI-1)
Name
Dr. James Lee Anderson
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine25560MNYes

Practice location

707 Ridgewood Rd
Duluth, MN 55804-1732

Phone 218-724-7646

Mailing address

707 Ridgewood Rd
Duluth, MN 55804-1732

Phone 218-724-7646

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