Individual
ANNE MARIE PAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(507) 304-5326
Mailing address
6786 AHLES RD, SAINT CLOUD, MN 56301-9242
(507) 304-5326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074875
IA
133V00000X
Registered Dietitian
Primary
3461
MN
Other
Enumeration date
08/14/2014
Last updated
10/12/2016
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