Individual
MICHELLE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5527
Mailing address
1725 2ND AVE SW APT 316, MINOT, ND 58701-3472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1102
ND
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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