Individual
MICHELLE TRAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2191
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2191
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86016381
COMMISSION ON DIETETIC REGRISTRATION NUMBER
MN
Enumeration date
09/22/2014
Last updated
09/22/2014
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