NPI 1134635485

Samuel Robert Alexander, DCLN

Practitioner Nutritionist Roseville, MN

Practice location

Address: 1700 S Hwy 36 Service Dr #400, Roseville, MN 55113-2453
Phone: (507) 519-0552
Mailing address: 10725 202nd St W, Lakeville, MN 55044-7861

Registered specialties (2)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence N257 (MN)

Other Nutritionist providers in Minnesota →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence 6450 (MN)

Other Chiropractor providers in Minnesota →

Registry record

NPI: 1134635485
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2017
Record last updated: 15 Oct 2024

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.