Individual
DR. DAVID LELAND FANDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11452 JEFFERSON CT, CHAMPLIN, MN 55316-2737
(763) 427-5545
Mailing address
11225 COMMERCE DR N, CHAMPLIN, MN 55316-3122
(763) 421-8588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4911
MN
Other
Enumeration date
02/05/2007
Last updated
04/24/2018
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