Individual
RIDGE M PIDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(651) 265-0000
(651) 265-0001
Mailing address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(651) 265-0000
(651) 265-0001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3805
WI
111N00000X
Chiropractor
Primary
4136
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38935900
—
WI
Enumeration date
08/17/2005
Last updated
09/15/2021
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