JORDAN ANDERSON
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1972274660- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15655 37TH AVE N STE 100, PLYMOUTH, MN, 554464003
- Phone
- (612) 293-7822
- Fax
- (630) 509-4420
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: MN #14624