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Individual

MS. TIPHANI SEIBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., L.D., C.D.E

Contact information

Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-5225
(763) 684-6111
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2347
MN
133VN1006X
Metabolic Nutrition Registered Dietitian
2347
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2024630
AMERICA'S PPO
MN
01
6300254
MEDICA
MN
01
POO178996
RR MEDICARE
MN
Enumeration date
05/22/2006
Last updated
03/15/2021
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