Healthcare Provider Details

I. General information

NPI: 1538016258
Provider Name (Legal Business Name): FOUNDATIONS NATURAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23505 SMITHTOWN RD STE 100
EXCELSIOR MN
55331-4542
US

IV. Provider business mailing address

23505 SMITHTOWN RD STE 100
EXCELSIOR MN
55331-4542
US

V. Phone/Fax

Practice location:
  • Phone: 920-615-6576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: ABBIE SIUDZINSKI
Title or Position: NATUROPATHIC DOCTOR & PRESIDENT
Credential: ND
Phone: 920-615-6576