Anderson, Michael T

Anderson, Michael T is an individual health care provider with primary practice located at 101 Willmar Ave Sw , Willmar MN 56201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Michael T can be contacted via phone (320) 231-5000.

Contact Information

Primary practice address
101 Willmar Ave Sw Willmar MN 56201
Fax: (320) 231-5067
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18712 Minnesota

Profile Details

NPI number 1760459127
LBN Legal business name Anderson, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Mar 25th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760459127 NPPES
Minnesota MEDICAID 038280900

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