Individual
SUSAN MARIE WEHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1871
MN
133V00000X
Registered Dietitian
1871
MN
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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