Organization
TWIN CITY NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE A GORMAN MS, RD, LD (EXECUTIVE NUTRITION CONSULTANT)
(612) 240-4196
Entity
Organization
Contact information
Practice address
1409 WILLOW ST, SUITE 220, MINNEAPOLIS, MN 55403-2269
(612) 240-4196
(612) 870-4542
Mailing address
1409 WILLOW ST, SUITE 220, MINNEAPOLIS, MN 55403-2269
(612) 240-4196
(612) 870-4542
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2244
MN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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