Sallie K Konruff RD

NPI 1780602698 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1780602698
Gender Female
Enumeration Date 07/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
701 PARK AVE
MINNEAPOLIS MN, 55415-1623, US
Phone (612) 873-3693
Fax (612) 904-4326
Business Location
701 PARK AVE
MINNEAPOLIS MN, 55415-1623, US
Phone (612) 873-6005
Fax (612) 630-8242
Toxanomy
Taxonomy Code 133V00000X
License State Minnesota
License Number 2063
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According to our database, Sallie K Konruff RD NPI is 1780602698, taxonomy code is 133V00000X and license number is 2063, license state is located at Minnesota. Sallie K Konruff RD physically located at 701 Park Ave, Minneapolis MN, 55415-1623. NPI Number Sallie K Konruff RD has the Individual type.

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1780602698 NPI number is provided on an as is basis without warranty of any kind. 1780602698 is maintained by the National Plan & Provider Enumeration System. The contents of Sallie K Konruff RD are for informational purposes only.