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Individual

DR. KIM DARYL FJELSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
14000 NICOLLET AVE, SUITE 306, BURNSVILLE, MN 55337-5790
(952) 435-2629
(952) 435-2650
Mailing address
14000 NICOLLET AVE, SUITE 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
10/25/2005
Last updated
03/07/2023
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