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Individual

MARY W ERICKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
1665 UTICA AVE S STE 100, SAINT LOUIS PARK, MN 55416-3476
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1087
MN

Other

Enumeration date
03/14/2006
Last updated
03/16/2021
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