| Doctor Name: | MS. SUSAN M PARKS |
| NPI Number: | 1043433576 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD,CSSD,LDN,CPT |
| License Number: | N153 |
| Business Practice Address: | 7300 Metro Blvd Suite 140 Edina, MN - 554392303 |
| Business Phone Number: | 6515927830 |
| Business Fax Number: | 6514053850 |
| Mailing Address: | 2282 Field Stone Dr, MENDOTA HEIGHTS |
| State: | MN |
| Postal Code: | 551201918 |
| Phone Number: | 6515927830 |
| Fax Number: | 6514053850 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | N153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |