Individual
JEAN A HARTL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDLD/CDE
Contact information
Practice address
125 FRAZEE ST E, DETROIT LAKES, MN 56501-3501
(218) 844-2300
(218) 844-2444
Mailing address
PO BOX 727, DETROIT LAKES, MN 56502-0727
(218) 844-2300
(218) 844-2444
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25880
NDBS
MN
01
—
6300391
MEDICA ID-DL
MN
01
—
HP58124
HEALTHPARTNERS
MN
Enumeration date
05/18/2006
Last updated
09/11/2025
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