Individual
LEVI MICHAEL TEIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 625-8999
(612) 625-5620
Mailing address
420 DELAWARE ST SE, MMC 36, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3057
MN
Other
Enumeration date
02/16/2018
Last updated
03/28/2018
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