Individual
DR. JAMIE W STEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
915 37TH AVE S, MOORHEAD, MN 56560
(218) 236-9319
(218) 236-9320
Mailing address
915 37TH AVE S, MOORHEAD, MN 56560-6148
(218) 236-9319
(218) 236-9320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12067
MN
122300000X
Dentist
Primary
1967
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41354
—
ND
05
—
498960100
—
MN
Enumeration date
11/06/2006
Last updated
05/24/2018
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