Mindy Marie Roth, MS, RDN, LD, CD

NPI #1982348678 in Stillwater, Minnesota

Provider Information

NPI Number: 1982348678
Entity Type: Individual
Name: Mindy Marie Roth, MS, RDN, LD, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RDN, LD, CD
Enumeration Date: Apr 27, 2022
Last Updated: Apr 27, 2022

Practice Location

Address: 927 CHURCHILL ST W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6605
Phone: (763) 504-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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