Individual
DR. CATHERINE JOHNSON BOGOLUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. , M.S.
Contact information
Practice address
1424 LINCOLN AVE, SAINT PAUL, MN 55105-2216
(651) 470-6135
(651) 344-0445
Mailing address
1424 LINCOLN AVE, SAINT PAUL, MN 55105-2216
(651) 470-6135
(651) 344-0445
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
N198
MN
133NN1002X
Nutrition Education Nutritionist
Primary
N198
MN
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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