Michael Blake, MS, RD, LRD

NPI #1154894434 in Fargo, North Dakota

Provider Information

NPI Number
1154894434
Entity Type
Individual
Name
Michael Blake, MS, RD, LRD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
MS, RD, LRD
Enumeration Date
Jan 9, 2019
Last Updated
May 12, 2020

Practice Location

Address
2400 32ND AVE S
City
Fargo
ZIP Code
58103-5800
Phone
(701) 234-2245

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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