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
Mailing address55 Elm St, Mahtomedi, MN 55115-1614

Other providers in Mahtomedi