Shyamala Ganesh

NPI #1942678966 in Rogers, Minnesota

Provider Information

NPI Number: 1942678966
Entity Type: Individual
Name: Shyamala Ganesh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 8, 2015
Last Updated: Sep 8, 2015

Practice Location

Address: 23516 BIRCH CIR
City: Rogers
State: Minnesota
ZIP Code: 55374-8795
Phone: (612) 273-3216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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