Tanner Anderson, MD
Radiology, Diagnostic Radiology in Bismarck, ND. Individual provider (NPI-1).
NPI number1689108573
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1689108573
- Entity type
- Individual (NPI-1)
- Name
- Tanner Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2017
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 60450 | MN | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 16620 | ND |
Practice location
222 N 7th StBismarck, ND 58501-4436
Phone 507-284-2511
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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