| Doctor Name: | ALFRED V. ANDERSON |
| NPI Number: | 1396838850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., D.C. |
| License Number: | 24538 |
| Business Practice Address: | 5775 Wayzata Blvd. Suite 110 St. Louis Park, MN - 55416 |
| Business Phone Number: | 9528359777 |
| Business Fax Number: | 9528359830 |
| Mailing Address: | 5775 Wayzata Blvd., Suite 400 ST. LOUIS PARK |
| State: | MN |
| Postal Code: | 55416 |
| Phone Number: | 9525428553 |
| Fax Number: | 9525136880 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P2900X |
| License Number: | 24538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Physical Medicine & Rehabilitation |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |