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MR. GERALD FREDERICK ANDERSON PA
NPI 1194042390
Physician Assistant - Surgical in Duluth, MN

Active since April 27, 2010
4060 HAINES RD, #104, DULUTH, MN 55811(952) 250-6435 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gerald Frederick Anderson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERALD FREDERICK ANDERSON PA (NPI 1194042390) is an individual surgical provider in Duluth, Minnesota and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1194042390
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. GERALD FREDERICK ANDERSONCredential: PA
Location Address4060 HAINES RD, #104Duluth, MN 55811-1746
Mailing Address4060 Haines Rd, #104Duluth, MN 55811-1746 · (952) 250-6435
Phone(952) 250-6435
Sole ProprietorNo
Enumeration DateApril 27, 2010
✔ NPI 1194042390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
4060 HAINES RD, Duluth, MN 55811
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Anderson's NPI number?

The NPI number for Gerald Anderson is 1194042390. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Gerald Anderson located?

Gerald Anderson practices at 4060 Haines Rd #104, Duluth, MN 55811. The listed phone number is (952) 250-6435.

What is Gerald Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gerald Anderson was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.