Individual
MS. MADISON MARIE MUSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, MS
Contact information
Practice address
2645 VIKINGS CIR, EAGAN, MN 55121-1962
(952) 456-7600
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4734
MN
Other
Enumeration date
06/13/2022
Last updated
07/19/2024
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