Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Anderson, MD Obstetrics and Gynecology, PA

Organization Clinic/Center · NPI 1063865772

Matthew Anderson, MD Obstetrics and Gynecology, PA is a Clinic/Center in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4465 White Bear Pkwy Ste 2
White Bear Lake, MN 55110-7623
Phone: (651) 653-0062
Fax: (651) 653-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 46328 (MN)

Record details

NPI number1063865772
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Anderson — President · (651) 653-0062
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 18, 2016
Mailing address4465 White Bear Pkwy, Suite 2, White Bear Lake, MN 55110-7623

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