Individual
MS. CHERYL LYNN THIESCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6316
Mailing address
525 2 1/2 ST N, SARTELL, MN 56377-1710
(320) 259-4691
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
721784
—
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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