Miranda Haugrud, RD LD
Dietitian, Registered in Wadena, MN. Individual provider (NPI-1).
NPI number1659778249
StatusActive
Last updated in NPPESFeb 17, 2017
Details
- NPI
- 1659778249
- Entity type
- Individual (NPI-1)
- Name
- Miranda Haugrud
- Credential
- RD LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2014
- Last updated
- Feb 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3108 | MN | Yes |
Practice location
415 Jefferson St NWadena, MN 56482-1264
Phone 218-632-7112
Mailing address
415 Jefferson St NWadena, MN 56482-1264
Phone 218-632-7112
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