Provider Demographics
NPI:1740552348
Name:XIAO, FEI SR
Entity type:Individual
Prefix:MR
First Name:FEI
Middle Name:
Last Name:XIAO
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2978 RICE STREET
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55113
Mailing Address - Country:US
Mailing Address - Phone:651-246-0619
Mailing Address - Fax:651-330-3969
Practice Address - Street 1:14791 60TH ST N STE 6
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6382
Practice Address - Country:US
Practice Address - Phone:651-430-3600
Practice Address - Fax:651-330-3969
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1167171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist