Doctor Name: | DR. ERICK RUSSELL ANDERSON |
NPI Number: | 1710960984 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 3803 |
Business Practice Address: | 4976 S County Road P Poplar, WI - 548649163 |
Business Phone Number: | 7153642440 |
Business Fax Number: | 7153642504 |
Mailing Address: | 1516 N 9th Ave E, DULUTH |
State: | MN |
Postal Code: | 558051119 |
Phone Number: | 7153642440 |
Fax Number: | 7153642504 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3803 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |