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1831165307

NPI Code Detail

MEDICARE: ROBERT E ANDERSON MD

MEDICARE: ROBERT E ANDERSON MD

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
1	208600000X	Surgery Physician	3882	SD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	020029093	OTHER	SD	RRMEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831165307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E ANDERSON MD

Provider Business Mailing Address
First Line	:	705 SIOUX POINT RD
Second Line	:	SUITE 100
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5091
Country	:	US
Telephone Number	:	605-217-5500
Fax Number	:	605-217-5515

Provider Business Practice Location Address
First Line	:	705 SIOUX POINT RD
Second Line	:	SUITE 100
City	:	DAKOTA DUNES
State	:	SD
Zip	:	57049-5091
Country	:	US
Telephone Number	:	605-217-5500
Fax Number	:	605-217-5515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	01/22/2010

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Directions to “ ROBERT E ANDERSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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