Individual
GRETCHEN BEA ROCKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
410 4TH ST NW, MAHNOMEN, MN 56557-4208
(218) 835-2514
(218) 835-2720
Mailing address
410 4TH ST NW, MAHNOMEN, MN 56557-4208
(218) 835-2514
(218) 835-2720
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1291
MN
Other
Enumeration date
07/22/2006
Last updated
04/12/2018
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