Search › Minnesota › 152W00000X
Jordan Stidham, O.D
NPI 1578016184 · on the registry since 2016
Practice
- Address
- 225 Se Main St
Minneapolis, MN 55414 - Phone
- (612) 379-1555
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- OH, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota