Individual
DR. SUSAN KAY RAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1539 GRAND AVE, SAINT PAUL, MN 55105-2229
(833) 833-2590
Mailing address
806 LINWOOD AVE APT 4, SAINT PAUL, MN 55105-3399
(612) 385-2567
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1747
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1747
BOARD OF DIETETICS AND NUTRITION PRACTICE
MN
Enumeration date
03/07/2019
Last updated
03/07/2019
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