Organization Name: | DAKOTA CLINIC, LTD. |
NPI Number: | 1437228574 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL) |
Mailing Address: | 125 Frazee St E Detroit Lakes |
State: | MN US |
Postal Code: | 565013501 |
Phone Number: | 2188442300 |
Fax Number: | 2188442444 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |