Most Relevant Information
Provider Data
| NPI Number: | 1003303439 |
| Provider Name: | JOHN SOONTOHRN ANDERSON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2018 |
| Last Updated: | 06/29/2021 |
Provider Practice Location
400 E 1ST ST
MORRIS
MN
562671408
Practice Location Phone/Fax
| Phone: | 3205891313 |
| Fax: |
Provider Mailing Location
400 E 1ST ST
MORRIS
MN
562671408
Provider Mailing Phone/Fax
| Phone: | 3205891313 |
| Fax: |