Organization
OSWALD DIGESTIVE CLINIC LLC
Active
Organization
OSWALD DIGESTIVE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY OSWALD RDN (DIETITIAN & FOUNDER)
(612) 805-7142
Entity
Organization
Contact information
Practice address
2893 KNOX AVE S APT 607, MINNEAPOLIS, MN 55408-1865
(612) 805-7142
Mailing address
2893 KNOX AVE S APT 607, MINNEAPOLIS, MN 55408-1865
(612) 805-7142
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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