Provider Demographics
NPI:1649322058
Name:STUDER, APRIL MARIE (DC,DACCP)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MARIE
Last Name:STUDER
Suffix:
Gender:F
Credentials:DC,DACCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-1588
Mailing Address - Country:US
Mailing Address - Phone:763-295-4797
Mailing Address - Fax:763-295-2302
Practice Address - Street 1:113 LOCUST STREET
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362
Practice Address - Country:US
Practice Address - Phone:763-295-4797
Practice Address - Fax:763-295-2302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN17G12STOtherBCBS
MN17G12STOtherBCBS