Most Relevant Information
Provider Data
| NPI Number: | 1003545435 |
| Provider Name: | DEREK ANDERSON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 18687 |
Most Important Dates
| Enumeration Date: | 06/09/2022 |
| Last Updated: | 06/09/2022 |
Provider Practice Location
5225 23RD AVE S
FARGO
ND
581047927
Practice Location Phone/Fax
| Phone: | 7012345933 |
| Fax: |
Provider Mailing Location
5225 23RD AVE S
FARGO
ND
581047927
Provider Mailing Phone/Fax
| Phone: | 7012345933 |
| Fax: |
Suggested EMR
Internist EMR