Individual provider · NPI-1
Joy Kristine Anderson, MD
Family Medicine · Fridley, MN
NPI number1952384059
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952384059
- Entity type
- Individual (NPI-1)
- Name
- Joy Kristine Anderson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 22114 | MN | Yes |
Practice location
7675 Madison St NeFridley, MN 55432-2753
Phone 763-785-4500 · Fax 763-785-3314
Mailing address
7675 Madison St NeFridley, MN 55432-2753
Phone 763-785-4500 · Fax 763-785-3314
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