Individual
MELANIE WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RDN, LDN
Contact information
Practice address
11600 COUNTY ROAD 27 NW, PENNOCK, MN 56279-9651
(612) 670-6719
Mailing address
11600 COUNTY ROAD 27 NW, PENNOCK, MN 56279-9651
(612) 670-6719
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2349
MN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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