Individual
REBECCA EDNA HAGENBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 626-3000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1619
MN
Other
Enumeration date
05/01/2006
Last updated
05/22/2008
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