JORDAN LILLIAN ANDERSON PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1053066399- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 10150 NIAGARA LN N # 100, MAPLE GROVE, MN, 553697588
- Phone
- (224) 213-5886
Specialties & Taxonomies
Physician Assistant
License: TX #PA15644
Physician Assistant, Surgical
Primary License: MN #14483