Stephanie Grindeland, DTR
Dietetic Technician, Registered in Minneapolis, MN. Individual provider (NPI-1).
NPI number1336748839
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1336748839
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Grindeland
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 86116519 | MN | Yes |
Practice location
5354 Parkdale Dr Ste 200Minneapolis, MN 55416-1617
Phone 888-364-5997
Mailing address
186 Maple StSaint Paul, MN 55106-5514
Phone 218-760-5670
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