Individual
MICHELLE JEAN STEPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1334 MADISON ST NE, MINNEAPOLIS, MN 55413-1423
(612) 655-6984
Mailing address
1256 SILVERTHORN DR, SHOREVIEW, MN 55126-5637
(612) 655-6984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86117599
MN
Other
Enumeration date
01/26/2023
Last updated
02/12/2024
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