Individual
JOSHUA DAVID VLIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 W LAKE ST, MINNEAPOLIS, MN 55408-2554
(612) 230-2336
Mailing address
1516 W LAKE ST, MINNEAPOLIS, MN 55408-2554
(320) 447-4465
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
MN
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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