Anderson, Ross Jeffrey

Anderson, Ross Jeffrey is an individual health care provider with primary practice located at 4 Deerwood Ave Nw , Wadena MN 56482-1296. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Anderson, Ross Jeffrey can be contacted via phone (218) 631-1360.

Contact Information

Primary practice address
4 Deerwood Ave Nw Wadena MN 56482-1296
Phone: (218) 631-1360
Fax: (218) 631-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27097 Minnesota

Profile Details

NPI number 1285639138
LBN Legal business name Anderson, Ross Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 24th, 2020 - about 4 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 1285639138 NPPES
Minnesota MEDICAID 437275100

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