STAN R ANDERSON

JACKSON FAMILY PRACTICE INC

Dr STAN R ANDERSON is a male medical professional, specializing in Family Medicine. He graduated in 1986 from University Of Cincinnati College Of Medicine.

Contact

JACKSON FAMILY PRACTICE INC

7072 MEARS GATE DR NW
NORTH CANTON
OH
447208850

Tel: 3309661319

STAN R ANDERSON Information

Npi 1538119326
Pac Id 6305849845
Professional Enrollment Id I20120306000653
Last Name ANDERSON
First Name STAN
Middle Name R
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 1986
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name JACKSON FAMILY PRACTICE INC
Group Practice Pac Id 1254344633
Number Of Group Practice Members 3
Line 1 Street Address 7072 MEARS GATE DR NW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NORTH CANTON
State OH
Zip Code 447208850
Phone Number 3309661319
Hospital Affiliation Ccn 1 360070
Hospital Affiliation Lbn 1 MERCY MEDICAL CENTER
Hospital Affiliation Ccn 2 360084
Hospital Affiliation Lbn 2 AULTMAN HOSPITAL
Hospital Affiliation Ccn 3 360027
Hospital Affiliation Lbn 3 AKRON GENERAL MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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