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NPI Code Detail

MEDICARE: ANDERS MICHAEL LINDSTROM PA-C

MEDICARE:   ANDERS MICHAEL LINDSTROM  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171000000XMilitary Health Care ProviderPA.2235AL

General Provider Information

NPI Number : 1134878192
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDERS MICHAEL LINDSTROM PA-C
Provider Business Mailing Address
First Line : 300 EAST HOSPITAL ROAD
Second Line :
City : FOR GORDON
State : GA
Zip : 30905-5650
Country : US
Telephone Number :
Fax Number : 706-787-1745
Provider Business Practice Location Address
First Line : 5300 57TH ST N
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35217-3328
Country : US
Telephone Number : 52-808-3225
Fax Number : 706-787-1745
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2022
Last Update Date : 04/18/2025

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Directions to “ ANDERS MICHAEL LINDSTROM PA-C” Practice Location

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