NPI 1033140561

Gregory S Anderson, DO

Practitioner General Practice Physician Red Lake, MN

Practice location

Address: Hwy 1 Hospital Drive Box 497, Red Lake, MN 56671-0497
Phone: (218) 679-3912
Fax: (218) 679-0181
Mailing address: PO Box 497, Redlake, MN 56671-0497

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 32831 (MN)

Other General Practice providers in Minnesota →

Registry record

NPI: 1033140561
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 21 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.