Dr. Gregory S Anderson
General Practice Physician
Hwy 1 Hospital Drive Box 497
Red Lake
, Minnesota 56671-0497
Dr. Gregory S Anderson
General Practice Physician
Hwy 1 Hospital Drive Box 497
Red Lake
, Minnesota 56671-0497
(218) 679-0181
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Gregory S Anderson
- Po Box 497
- Redlake, MN
- Zip : 56671-0497
- Fax : (218) 679-0181
- Phone : (218) 679-3912
Second Address
- Dr. Gregory S Anderson
- Hwy 1 Hospital Drive Box 497
- Red Lake, MN
- Zip : 56671-0497
- Fax : (218) 679-0181
- Phone : (218) 679-3912
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 32831 | MN |
National Provider Identifier
| NPI | 1033140561 |
|---|---|
| Provider Name | Dr. Gregory S Anderson |
| First Address | Redlake, MN 56671-0497 |
| Second Address | Red Lake, MN 56671-0497 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 21/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 34G00AN | BC/BS OF MN (01) | MN |
| 476753500 | (05) | MN |
| H46538 | (02) | MN |
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.