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1700229028
STEVE MANDIEKA
BLOOMINGTON, MN
NPI
1700229028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN CNP 2097)
Enumeration Date
2013-04-17
Last Update Date
2020-05-10
Business Address
Dr. STEVE MANDIEKA
10800 LYNDALE AVE S STE 114
BLOOMINGTON, MN 55420-2611
Phone number: 952-479-0172
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Mailing Address
Dr. STEVE MANDIEKA
1816 GRANITE DR
SHAKOPEE, MN 55379-2900
Phone number: 952-479-0814
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