Individual
PRESTON FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8147 GLOBE DR STE 103, WOODBURY, MN 55125-3741
(651) 731-0505
Mailing address
8147 GLOBE DR STE 103, WOODBURY, MN 55125-3741
(651) 731-0505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7091
MN
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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