Individual
HEIDI GRACE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4188
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4188
LICENSED DIETITIAN
MN
Enumeration date
07/11/2019
Last updated
09/28/2022
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