Janice Kae Forkrud RD, LD, CDE

NPI 1326238973 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1326238973
Gender Female
Enumeration Date 07/30/2007
Last Updated 11/05/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
502 2ND ST SW
SUITE 1
WILLMAR MN, 56201-3337, US
Phone (320) 235-7232
Fax
Business Location
502 2ND ST SW
SUITE 1
WILLMAR MN, 56201-3337, US
Phone (320) 235-7232
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Minnesota
License Number 1601
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According to our database, Ms. Janice Kae Forkrud RD, LD, CDE NPI is 1326238973, taxonomy code is 133V00000X and license number is 1601, license state is located at Minnesota. Janice Kae Forkrud RD, LD, CDE physically located at 502 2nd St Sw, Willmar MN, 56201-3337. NPI Number Janice Kae Forkrud RD, LD, CDE has the Individual type.

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1326238973 NPI number is provided on an as is basis without warranty of any kind. 1326238973 is maintained by the National Plan & Provider Enumeration System. The contents of Janice Kae Forkrud RD, LD, CDE are for informational purposes only.