Kurt David Anderson, M.D.

Individual provider Active NPI Orthopaedic Surgery Physician · Otsego, MN

NPI 1275649840 · NPPES record last updated Dec 16, 2019

Key facts

NPI
1275649840
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
34736 (MN)
Practice address
8540 Quaday Ave NE
Otsego, MN 55330-6522
Phone
(763) 441-0298
Fax
(763) 441-0591
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34736MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34736 MN Yes

Addresses

Primary practice location

8540 Quaday Ave NE
Otsego, MN 55330-6522

Mailing address

8540 Quaday Ave NE
Otsego, MN 55330-6522
Phone (763) 441-0298

Other providers in Otsego, MN

All providers in Otsego, MN · Orthopaedic Surgery Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.