Individual
MATTHEW FERIANCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9360 OAK AVE, WACONIA, MN 55387-9422
(952) 466-6533
Mailing address
9360 OAK AVE, WACONIA, MN 55387-9422
(612) 807-4440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6105
MN
Other
Enumeration date
10/14/2015
Last updated
06/02/2025
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