Individual
MELINDA ANN WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
800 E 28TH ST, MC 11117, MINNEAPOLIS, MN 55407-3723
(612) 863-4425
Mailing address
701 BUFFALO HILLS ST, BUFFALO, MN 55313-2338
(612) 863-4425
(612) 863-5122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2447
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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