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Individual

ELLIOT DAVID MEZERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, RD, LD, CD

Contact information

Practice address
2430 NICOLLET AVE, MINNEAPOLIS, MN 55404-3461
(612) 871-7443
Mailing address
6304 W 39TH ST, MINNEAPOLIS, MN 55416-2705

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3067-29
WI
133V00000X
Registered Dietitian
Primary
3820
MN

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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