Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 63756 | MN |
N | 207L00000X | Anesthesiologist | A98897 | CA |
N | 208200000X | Surgeon | A98897 | CA |
N | 208600000X | Surgeon | A98897 | CA |
NPI | 1013049683 |
---|---|
Provider Name | Dr. Alexandra Louise Anderson |
First Address | Rochester, MN 55905-2204 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 03/08/2020 |