Individual provider · NPI-1

Derek James Anderst, M.D.

Internal Medicine · Minneapolis, MN

NPI number1770979585
StatusActive
Last updated in NPPESMar 15, 2021

Details

NPI
1770979585
Entity type
Individual (NPI-1)
Name
Derek James Anderst
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2015
Certification date
Mar 15, 2021
Last updated
Mar 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine63586MNYes
390200000X Student in an Organized Health Care Education/Training Program––
208M00000X Hospitalist63586MN

Practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-863-4000 · Fax 763-236-3026

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

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