Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Noel Fredericksen

Individual provider Chiropractor · NPI 1073067401

Noel Fredericksen is a Chiropractor in Mahtomedi, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
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Practice location Address checks out

55 Elm St
Mahtomedi, MN 55115-1614
Phone: (612) 990-4478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6212 (MN)

Record details

NPI number1073067401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 15, 2016

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