NPI

Ida Anderson

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2015-07-02
Last updated
2015-07-02

Specialties

Licenses

License MN
4698

Location

Practice location
66 E Saint Marie St
City
Duluth MN
Postal code
55803-2646
Phone
(218) 481-7603

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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