Individual provider · NPI-1

Seth Anderson, DO

· Fargo, ND

NPI number1528210879
StatusActive
Last updated in NPPESAug 17, 2020

Details

NPI
1528210879
Entity type
Individual (NPI-1)
Name
Seth Anderson
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2008
Certification date
Aug 17, 2020
Last updated
Aug 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085N0700X 12941NDYes
390200000X Student in an Organized Health Care Education/Training ProgramRL10952ND

Practice location

801 Broadway N
Fargo, ND 58102-3641

Phone 701-234-2000

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 701-234-2110

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