Individual
MARY K SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
3800 PARK NICOLLET BLVD, MINNEAPOLIS, MN 55416-2527
(952) 993-2048
Mailing address
3800 PARK NICOLLET BLVD, MINNEAPOLIS, MN 55416-2527
(952) 993-2048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1846
MN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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