Individual
DR. BRENDA LEE FANDEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
967 LAKE ST S, FOREST LAKE, MN 55025-2616
(651) 464-1113
Mailing address
967 LAKE ST S, FOREST LAKE, MN 55025-2616
(651) 464-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3214
MN
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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