NPI 1275657348 · live from the CMS NPI Registry
James Lee Anderson, MD
Pediatrics, Adolescent Medicine in Duluth, MN. National Provider Identifier 1275657348, active.
NPI record
| NPI | 1275657348 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 707 Ridgewood Rd, Duluth, MN 55804 |
| Practice phone | 218-724-7646 |
| Enumerated | March 16, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 25560 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.