| Mary Jane Metzdorff, RDN, LD | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 365-6777 | |
| Not Available |
| Full Name | Mary Jane Metzdorff |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2450 Riverside 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 |
|---|---|---|---|
| 1396393781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4222 (Minnesota) | Primary |
| Provider Name | Fairview Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jane Metzdorff, RDN, LD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-1000 | Mary Jane Metzdorff, RDN, LD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-6777 |
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 |