Individual
BRAD PATRICK YENTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
221 8TH AVE SE APT A, MINNEAPOLIS, MN 55414-2262
(651) 373-5662
Mailing address
221 8TH AVE SE APT A, MINNEAPOLIS, MN 55414-2262
(651) 373-5662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4401
MN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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