Brenna R Mehle Bonach
NPI #1083916654 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1083916654
- Entity Type
- Individual
- Name
- Brenna R Mehle Bonach
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Dec 2, 2010
- Last Updated
- Mar 2, 2011
Practice Location
- Address
- 6500 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-4702
- Phone
- (952) 993-5179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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