TRENT D ANDERSON

LAKE CITY, MN
NPI1366751927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  55205)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MN  PERMIT22868)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MN  55205)
Enumeration Date2010-09-30
Last Update Date2020-09-28
Business Address
TRENT D ANDERSON D.O.
500 W GRANT ST
LAKE CITY, MN 55041-1143
Phone number: 651-345-3321
Mailing Address
TRENT D ANDERSON D.O.
500 W GRANT ST
LAKE CITY, MN 55041-1143
Phone number: 651-345-3321