Individual
JORDAN KAIN STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
225 SE MAIN ST, MINNEAPOLIS, MN 55414-2124
(612) 379-1555
Mailing address
740 MAIN ST STE 100, MENDOTA HEIGHTS, MN 55118-3763
(651) 686-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3735
MN
152W00000X
Optometrist
OPT.6498
OH
Other
Enumeration date
07/31/2016
Last updated
05/29/2024
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