Mary W Ericksen, RD LD
NPI #1346218559 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1346218559
- Entity Type
- Individual
- Name
- Mary W Ericksen, RD LD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD LD
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 1665 UTICA AVE S STE 100
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-3476
- Phone
- (952) 541-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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