Muiderman, Anthony Kevin

Muiderman, Anthony Kevin is an individual health care provider with primary practice located at 3165 Demers Ave - Truyu Aesthetic Center , Grand Forks ND 58201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Muiderman, Anthony Kevin can be contacted via phone (701) 780-6623.

Contact Information

Primary practice address
3165 Demers Ave - Truyu Aesthetic Center Grand Forks ND 58201
Phone: (701) 780-6623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 10458 North Dakota

Profile Details

NPI number 1003802430
LBN Legal business name Muiderman, Anthony Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 26th, 2019 - about 5 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 1003802430 NPPES
Wisconsin MEDICAID 34199500

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