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General NPI Number Information
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NPI Number | 1558991109
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Entity Type | Organization
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Legal Business Name | ANDERSON ONCOLOGIC SERVICES LLC
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 7450 FRANCE AVE S STE 220
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City | EDINA
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State | MN
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Zip | 55435-4792
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Country | US
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Telephone | 952-925-1111
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Fax | 952-922-3446
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Provider Business Mailing Address
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Address Line | 11921 ORCHARD AVE W
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City | MINNETONKA
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State | MN
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Zip | 55305-2938
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Country | US
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Telephone | 126-868-1806
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Fax |
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Authorized Official
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Title or Position | SURGICAL ONCOLOGIS
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Name | DR. CASANDRA ANN ANDERSON
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Credential | MD
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Telephone | 612-868-1806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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