Individual
CAROL MARIE BRUNZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LDE,CDE
Contact information
Practice address
516 DELAWARE ST SE, MMC 88, MINNEAPOLIS, MN 55455-0356
(612) 626-3829
Mailing address
10035 CONRAD AVE, INVER GROVE HEIGHTS, MN 55076-3813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724205
MN
Other
Enumeration date
01/23/2007
Last updated
03/15/2010
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