Individual
ALLISON M GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3473
MN
363A00000X
Physician Assistant
Primary
12891
MN
Other
Enumeration date
04/08/2015
Last updated
03/22/2019
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