Organization
KIM D FJELSTAD DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM DARYL FJELSTAD DPM (OWNER)
(952) 435-2629
Entity
Organization
Contact information
Practice address
14000 NICOLLET AVE, 306, BURNSVILLE, MN 55337-5790
(952) 435-2629
(952) 435-2650
Mailing address
14000 NICOLLET AVE, 306, BURNSVILLE, MN 55337-5790
(952) 435-2629
(952) 435-2650
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913525100
—
MN
Enumeration date
12/10/2007
Last updated
03/07/2023
Update your record
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