Individual
MRS. SHANNON K KRIZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3393
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(763) 242-0778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1058178
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058178
—
WI
Enumeration date
09/13/2011
Last updated
04/19/2021
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