Provider Demographics
NPI:1629271978
Name:ALTMAN, ANDREW GARTH (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GARTH
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 31ST AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55427-2319
Mailing Address - Country:US
Mailing Address - Phone:763-208-9835
Mailing Address - Fax:888-698-6983
Practice Address - Street 1:9100 31ST AVE N
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55427-2319
Practice Address - Country:US
Practice Address - Phone:763-208-9835
Practice Address - Fax:888-698-6983
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4866111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic