STEVE MANDIEKA

BLOOMINGTON, MN
NPI1700229028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  CNP 2097)
Enumeration Date2013-04-17
Last Update Date2020-05-10
Business Address
Dr. STEVE MANDIEKA
10800 LYNDALE AVE S STE 114
BLOOMINGTON, MN 55420-2611
Phone number: 952-479-0172
Mailing Address
Dr. STEVE MANDIEKA
1816 GRANITE DR
SHAKOPEE, MN 55379-2900
Phone number: 952-479-0814