Dr. Courtney Allison Anderson
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1903 S 6th St Ste 4
Brainerd
, Minnesota 56401-4599
Dr. Courtney Allison Anderson
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1903 S 6th St Ste 4
Brainerd
, Minnesota 56401-4599
(218) 829-1728
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Courtney Allison Anderson
- 1903 S 6th St Ste 4
- Brainerd, MN
- Zip : 56401-4599
- Fax : (218) 829-1728
- Phone : (920) 965-4055
Second Address
- Dr. Courtney Allison Anderson
- 1903 S 6th St Ste 4
- Brainerd, MN
- Zip : 56401-4599
- Fax : (218) 829-1729
- Phone : (218) 829-1728
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | D11673 | MN |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 6669 | WI |
National Provider Identifier
| NPI | 1568678985 |
|---|---|
| Provider Name | Dr. Courtney Allison Anderson |
| First Address | Brainerd, MN 56401-4599 |
| Second Address | Brainerd, MN 56401-4599 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2007 |
| Last Update Date | 05/03/2018 |
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.