Individual
JEROME ARLAN GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS VA HEALTH CARE SYSTEM, MINNEAPOLIS, MN 55417-2309
(612) 467-1947
Mailing address
235 HICKORY ST, MAHTOMEDI, MN 55115-1762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2333
MN
Other
Enumeration date
01/18/2008
Last updated
09/04/2015
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