Individual provider · Type 1 NPI
Noel Fredericksen
Chiropractor · Mahtomedi, MN
NPI number
1073067401
Active
Practice location
55 Elm St
Mahtomedi, MN 55115-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6212 (MN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Other chiropractor providers in Mahtomedi
About NPI 1073067401
Noel Fredericksen's National Provider Identifier is 1073067401, issued on Aug 15, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mahtomedi, MN. The record was last updated on Aug 15, 2016.