Individual
STEFAN J FRIEDRICHSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-7888
(612) 813-7199
Mailing address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48454
MN
208000000X
Pediatrics Physician
Primary
SFP41
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645275200
—
MN
Enumeration date
08/04/2006
Last updated
05/26/2020
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