Individual
MARIANNE GRONSTAL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5084 AMES AVE, OMAHA, NE 68104-2323
(402) 451-7745
(402) 451-8090
Mailing address
451 FRANK ST, COUNCIL BLUFFS, IA 51503-4551
(712) 322-7605
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
00025
IA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
334
NE
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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