Britta L Mattison

NPI 1023205481 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1023205481
Gender Female
Enumeration Date 10/01/2007
Last Updated 10/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3800 PARK NICOLLET BLVD
ST LOUIS PARK MN, 55416-2527, US
Phone (952) 993-3435
Fax
Business Location
6465 WAYZATA BLVD
SUITE 210
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Minnesota
License Number 2661
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According to our database, Britta L Mattison NPI is 1023205481, taxonomy code is 133V00000X and license number is 2661, license state is located at Minnesota. Britta L Mattison physically located at 3800 Park Nicollet Blvd, St Louis Park MN, 55416-2527. NPI Number Britta L Mattison has the Individual type.

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1023205481 NPI number is provided on an as is basis without warranty of any kind. 1023205481 is maintained by the National Plan & Provider Enumeration System. The contents of Britta L Mattison are for informational purposes only.