ADULT MEDICINE PA
Organization (NPI-2)
Active
Dietitian, Registered
Provider Information
- NPI Number
1740403393- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 393 DUNLAP ST N STE 235, SAINT PAUL, MN, 551044208
- Phone
- (651) 644-7775
- Fax
- (651) 644-8884
Specialties & Taxonomies
Internal Medicine
License: MN #26646
Dietitian, Registered
Primary License: MN #N153