Individual
MRS. HEATHER LEE KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1300 ANNE ST. NW, BEMIDJI, MN 56601
(218) 333-5847
Mailing address
1300 ANNE ST. NW, BEMIDJI, MN 56601
(218) 333-5847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3035
MN
Other
Enumeration date
11/23/2009
Last updated
07/10/2012
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