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Contact Information

KIM D FJELSTAD, DPM
14000 NICOLLET AVE
SUITE 306
BURNSVILLE, MN55337-5790
 Phone: 952-435-2629
 Fax: 952-435-2650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KIM D FJELSTAD · (Male)

NPI # 1992795504
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/25/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 410
  • MN Medicaid 913525100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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