Organization
FIEBELKORN ENTERPISES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW WADE FIEBELKORN D.C. (OWNER/PRESIDENT)
(651) 717-8321
Entity
Organization
Contact information
Practice address
1250 FRONTAGE RD W, STILLWATER, MN 55082-2103
(651) 387-8338
(651) 691-0428
Mailing address
105 BORDEAUX CT, WOODBURY, MN 55125-1443
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5807
MN
Other
Enumeration date
06/02/2013
Last updated
06/05/2013
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