Individual
HEIDI JO GREENWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSD
Contact information
Practice address
420 DELAWARE ST SE, MMC 84, MINNEAPOLIS, MN 55455-0341
(612) 273-3216
(612) 273-5039
Mailing address
420 DELAWARE ST SE, MMC 84, MINNEAPOLIS, MN 55455-0341
(612) 273-3216
(612) 273-5039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2263
MN
Other
Enumeration date
02/22/2006
Last updated
06/30/2008
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