Individual
DEBRA JANE BAUMGARTNER
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) 255-6376
(320) 202-2306
Mailing address
15034 210TH ST, COLD SPRING, MN 56320-9787
(320) 255-6376
(320) 202-2306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
566694
MN
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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