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Noel Fredericksen
Chiropractor in Mahtomedi, Minnesota
NPI 1073067401

Noel Fredericksen is a Chiropractor based in Mahtomedi, MN. Noel Fredericksen practices in Mahtomedi, MN. The NPI Number for Noel Fredericksen is 1073067401 and holds a License No. 6212 (Minnesota).

The current practice location address for Noel Fredericksen is 55 Elm St, Mahtomedi, MN and can be reached out via phone at 612-990-4478.

Location: 55 Elm St, Mahtomedi, MN, 55115-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073067401
Provider Name
Noel Fredericksen
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Elm St, Mahtomedi, MN, 55115-1614
Phone Number
612-990-4478
Fax Number
Provider Enumeration Date
08/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Elm St
City
Mahtomedi
State
Minnesota
Zip
55115-1614
Phone Number
612-990-4478
Fax Number
person
Provider Business Mailing Address Details
Address
55 Elm St
City
Mahtomedi
State
Minnesota
Zip
55115-1614
Phone Number
612-990-4478
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6212 (Minnesota)
Definition
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.
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