Paul Conrad Andersen, 183500000X

NPI #1114293867 in Deer River, Minnesota

Provider Information

NPI Number: 1114293867
Entity Type: Individual
Name: Paul Conrad Andersen, 183500000X
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: 183500000X
Enumeration Date: Mar 27, 2012
Last Updated: Mar 27, 2012

Practice Location

Address: 117 MAIN AVE E
City: Deer River
State: Minnesota
ZIP Code: 56636-8735
Phone: (218) 246-8642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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