Individual
MRS. ELISE F ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
33 MAIN ST S STE 1, SAINT MICHAEL, MN 55376-7507
(763) 276-1178
Mailing address
6400 OAKWOOD AVE NE, OTSEGO, MN 55330-6708
(763) 656-7159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86045878
MN
Other
Enumeration date
01/23/2017
Last updated
11/12/2021
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