Mary Kathleen Anderson, PA-C

NPI #1013080316 in Fridley, Minnesota

Provider Information

NPI Number: 1013080316
Entity Type: Individual
Name: Mary Kathleen Anderson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 16, 2006
Last Updated: Apr 3, 2012

Practice Location

Address: 480 OSBORNE RD NE
City: Fridley
State: Minnesota
ZIP Code: 55432-2773
Phone: (763) 785-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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