Doctor Name: | SUSAN T. SEYKORA |
NPI Number: | 1912982653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | 727534 |
Business Practice Address: | 501 N State St Waseca Medical Center - Mayo Health System Waseca, MN - 56093 |
Business Phone Number: | 5078351210 |
Business Fax Number: | 5078374280 |
Mailing Address: | 501 N State St, Waseca Medical Center - Mayo Health System WASECA |
State: | MN |
Postal Code: | 56093 |
Phone Number: | 5078351210 |
Fax Number: | 5078374280 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 727534 |
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 |