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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NOEL FREDERICKSEN

Active Sole Proprietor

NOEL FREDERICKSEN is a Chiropractor healthcare provider located in MAHTOMEDI, Minnesota. NPI 1073067401 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · MAHTOMEDI, MN

Registration Details

NPI Number
1073067401
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2016 (9.9957212338684 yrs)
Last Updated
Aug 15, 2016
License
6212 (MN)
Sole Proprietor
Yes

Practice Information

Address
55 ELM ST
MAHTOMEDI, MN, 551151614
Browse MN providers · Browse ZIP 55115
Phone
6129904478
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in MAHTOMEDI, MN

Name Credential NPI
STEVEN HAGSTROM D.C. 1265520274
DR. GINA CHRISTINE NELSON DC 1619025855
VIRGINIA ROSE KAMPMEIER D.C. 1548468093
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.