Individual
SUSAN K ROTTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8611 W POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-4005
(651) 458-1884
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1761
MN
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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