Provider Demographics
NPI:1851118020
Name:SIUDZINSKI, ABBIE (ND)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:SIUDZINSKI
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:
Other - Last Name:VIEGUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3140 HARBOR LN N STE 102
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-5118
Mailing Address - Country:US
Mailing Address - Phone:612-236-0002
Mailing Address - Fax:
Practice Address - Street 1:3140 HARBOR LN N STE 102
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-5118
Practice Address - Country:US
Practice Address - Phone:612-236-0002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath