| Jillian Theresa Tholen, MS, RDN, LD | |
|
411 E Hennepin Ave, Minneapolis, MN 55414 | |
| (507) 993-1801 | |
| Not Available |
| Full Name | Jillian Theresa Tholen |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 411 E Hennepin Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679923957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3710 (Minnesota) | Primary |
| Provider Name | Emily Program Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014 |
| Provider Name | Tria Orthopaedic Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Theresa Tholen, MS, RDN, LD 234 Mississippi River Blvd N Apt 304, Saint Paul, MN 55104-5621 Ph: (507) 993-1801 | Jillian Theresa Tholen, MS, RDN, LD 411 E Hennepin Ave, Minneapolis, MN 55414 Ph: (507) 993-1801 |
Kelly Scheller Williams, Dietitian Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3216 | |
Sarah E Johnson, RD LD Dietitian Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Christina Manian, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-273-5188 | |
Laura C H Hanson, MS, RD, LN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3693 Fax: 612-904-4326 | |
Mr. Adam Joseph Kuchnia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-0069 | |
Aimee M Tritt, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
Timothy Baebenroth, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-2004 |