Anderson, Robert Clifton

Anderson, Robert Clifton is an individual health care provider with primary practice located at 3555 Willow Lake Blvd Suite 240, Saint Paul MN 55110-5131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Anderson, Robert Clifton can be contacted via phone (651) 770-0110.

Contact Information

Primary practice address
3555 Willow Lake Blvd Suite 240 Saint Paul MN 55110-5131
Phone: (651) 770-0110
Fax: (651) 770-0134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 45910 Minnesota

Profile Details

NPI number 1831208685
LBN Legal business name Anderson, Robert Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Oct 4th, 2013 - about 11 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 1831208685 NPPES
Minnesota Other 364G9AN BLUE SHIELD
Minnesota Other P00235749 BLUE SHIELD
Minnesota MEDICAID 988178600 BLUE SHIELD

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