Individual
DR. STEVEN NICHOLAS FIDELDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
118 NE 11TH AVE, SUITE A, GRAND RAPIDS, MN 55744-3286
(218) 326-3603
(218) 326-3606
Mailing address
118 NE 11TH AVE, SUITE A, GRAND RAPIDS, MN 55744-3286
(218) 326-3603
(218) 326-3606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62M82AL
BCBS PROVIDER NUMBER
MN
Enumeration date
07/22/2006
Last updated
07/08/2007
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