Individual
MRS. MELISSA ANNE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3850 PARK NICOLLET BLVD, NUTRITION - FAMILY PRACTICE, ST LOUIS PARK, MN 55416-2527
(952) 993-3052
Mailing address
3850 PARK NICOLLET BLVD, NUTRITION - FAMILY PRACTICE, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3052
MN
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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