Provider Demographics
NPI:1942208913
Name:BIERMAIER, STEVEN J (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:BIERMAIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-1164
Mailing Address - Country:US
Mailing Address - Phone:218-281-6311
Mailing Address - Fax:218-281-6312
Practice Address - Street 1:1226 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-1164
Practice Address - Country:US
Practice Address - Phone:218-281-6311
Practice Address - Fax:218-281-6312
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0023650111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN099727700Medicaid
MN350002827Medicare ID - Type Unspecified
MNT65311Medicare UPIN