Most Relevant Information
Provider Data
| NPI Number: | 1003810060 |
| Provider Name: | TRENT MICHAEL ANDERSON D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 08001705A |
Most Important Dates
| Enumeration Date: | 06/08/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4211 E 3RD ST
BLOOMINGTON
IN
474015550
Practice Location Phone/Fax
| Phone: | 8123230700 |
| Fax: | 8123230702 |
Provider Mailing Location
4211 E 3RD ST
BLOOMINGTON
IN
474015550
Provider Mailing Phone/Fax
| Phone: | 8123230700 |
| Fax: | 8123230702 |