Individual
STEPHEN LEE FRIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
3620
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096293700
—
MN
01
—
375T8FR
BC-BS
MN
Enumeration date
04/02/2007
Last updated
07/21/2022
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