Integrated Rd Care

Organization Active NPI Registered Dietitian · Corcoran, MN

NPI 1902634801 · NPPES record last updated Jul 23, 2024

Key facts

NPI
1902634801
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
INTEGRATED RD CARE
Practice address
19128 66TH Ave N
Corcoran, MN 55340-2001
Phone
(320) 237-5952
NPI assigned
Jul 23, 2024
Organization subpart
No

Authorized official

Name
Jana L Martin, MS.RDN,LD
Title
Registered Dieitian
Phone
(320) 237-5952

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

19128 66TH Ave N
Corcoran, MN 55340-2001

Mailing address

19128 66TH Ave N
Corcoran, MN 55340-2001
Phone (320) 237-5952

Other providers in Corcoran, MN

All providers in Corcoran, MN · Registered Dietitian in Minnesota

Sources for this page

Verify at the official NPI Registry.