Individual
JESSICA JO BURGSTAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4295
(612) 727-5997
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-4295
(612) 727-5997
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
978292
MN
Other
Enumeration date
12/28/2007
Last updated
01/18/2008
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