Catherine Johnson Bogolub M.D. , M.S.

NPI 1801106067 - Nutritionist - 133N00000X

NPI Details
NPI 1801106067
Gender Female
Enumeration Date 10/20/2010
Last Updated 10/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1424 LINCOLN AVE
SAINT PAUL MN, 55105-2216, US
Phone (651) 470-6135
Fax (651) 344-0445
Business Location
1424 LINCOLN AVE
SAINT PAUL MN, 55105-2216, US
Phone (651) 470-6135
Fax (651) 344-0445
Toxanomy
Taxonomy Code 133N00000X
License State Minnesota
License Number N198
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According to our database, Dr. Catherine Johnson Bogolub M.D. , M.S. NPI is 1801106067, taxonomy code is 133N00000X and license number is N198, license state is located at Minnesota. Catherine Johnson Bogolub M.D. , M.S. physically located at 1424 Lincoln Ave, Saint Paul MN, 55105-2216. NPI Number Catherine Johnson Bogolub M.D. , M.S. has the Individual type.

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1801106067 NPI number is provided on an as is basis without warranty of any kind. 1801106067 is maintained by the National Plan & Provider Enumeration System. The contents of Catherine Johnson Bogolub M.D. , M.S. are for informational purposes only.