Provider Demographics
NPI:1134363880
Name:ANDERSON, DAWN EVON (DO)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:EVON
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:4050 COON RAPIDS BLVD NW
Mailing Address - Street 2:MIDWEST INTERNAL MEDICINE
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-2522
Mailing Address - Country:US
Mailing Address - Phone:763-236-6000
Mailing Address - Fax:
Practice Address - Street 1:2925 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1321
Practice Address - Country:US
Practice Address - Phone:613-863-4000
Practice Address - Fax:763-236-3026
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNDO0000002231207R00000X
MN55018207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine