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Ryan Weiler

Dietitian, Registered in Burnsville, MN. Individual provider (NPI-1).

NPI number1093229098
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1093229098
Entity type
Individual (NPI-1)
Name
Ryan Weiler
Sex
Male
Sole proprietor
No
Enumeration date
Nov 29, 2017
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered3611MNYes

Practice location

14000 Fairview Dr
Burnsville, MN 55337-5713

Phone 952-993-8700

Mailing address

8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516

Other practice locations

1451 Adams St S
Shakopee, MN 55379-2697

Phone 952-403-1520

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