NPI | 1740403393 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A ANDERSON-UZPEN President 651-644-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MN N153) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 26646) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |