NPI 1003214222

Wendy Lynn Gordon, RDRDH

Practitioner Registered Dietitian Detroit Lakes, MN

Practice location

Address: 1415 Madison Ave, Detroit Lakes, MN 56501-4542
Phone: (218) 844-7161

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2886 (MN)

Other Dietitian, Registered providers in Minnesota →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 839 (ND)

Registry record

NPI: 1003214222
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2014
Record last updated: 22 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.