Provider Demographics
NPI:1184902330
Name:ANDERSON, BREANN ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:BREANN
Middle Name:ELIZABETH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:SANFORD CLINIC
Mailing Address - Street 2:1527 BROADWAY ST
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308
Mailing Address - Country:US
Mailing Address - Phone:320-762-0399
Mailing Address - Fax:
Practice Address - Street 1:501 N COLUMBIA ROAD, STOP 9037
Practice Address - Street 2:UNIV OF NORTH DAKOTA DEPT OF SURGERY, SMHS RM 5107
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202-9037
Practice Address - Country:US
Practice Address - Phone:701-777-3067
Practice Address - Fax:701-777-2609
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2024-02-28
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Provider Licenses
StateLicense IDTaxonomies
NDRL 12001208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery