Individual
DR. MATTHEW WADE FIEBELKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1250 FRONTAGE RD W, STILLWATER, MN 55082-2103
(651) 717-8321
Mailing address
105 BORDEAUX CT, WOODBURY, MN 55125-1443
(651) 717-8321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5807
MN
Other
Enumeration date
06/01/2013
Last updated
06/03/2013
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