Individual
STEPHEN LEE FRIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2807 ROSEMILL LN, WOODBURY, MN 55129-5291
(612) 965-8700
Mailing address
2807 ROSEMILL LN, WOODBURY, MN 55129-5291
(612) 965-8700
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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