Alfred V. Anderson
Pain Medicine
5775 Wayzata Blvd. Suite 110
StLouis Park
, Minnesota 55416
Alfred V. Anderson
Pain Medicine
5775 Wayzata Blvd. Suite 110
StLouis Park
, Minnesota 55416
(952) 513-6880
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Alfred V. Anderson
- 5775 Wayzata Blvd. Suite 400
- St. Louis Park, MN
- Zip : 55416
- Fax : (952) 513-6880
- Phone : (952) 542-8553
Second Address
- Alfred V. Anderson
- 5775 Wayzata Blvd. Suite 110
- St. Louis Park, MN
- Zip : 55416
- Fax : (952) 835-9830
- Phone : (952) 835-9777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 24538 | MN |
National Provider Identifier
| NPI | 1396838850 |
|---|---|
| Provider Name | Alfred V. Anderson |
| First Address | St. Louis Park, MN 55416 |
| Second Address | St. Louis Park, MN 55416 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A93832 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.