| NPI | 1306069489 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRIAN WAYNE ZEHETNER Nutrition Consultant 612-242-1391 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN 2214) | 
| Enumeration Date | 2007-04-10 | 
| Last Update Date | 2020-08-22 |