Individual
DR. STEVE MANDIEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10800 LYNDALE AVE S STE 114, BLOOMINGTON, MN 55420-2611
(952) 479-0172
(952) 516-5393
Mailing address
1816 GRANITE DR, SHAKOPEE, MN 55379-2900
(952) 479-0814
(952) 516-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 2097
MN
Other
Enumeration date
04/17/2013
Last updated
05/10/2020
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