Michelle A Larson, RD | |
2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109-2798 | |
(651) 779-1500 | |
(651) 770-3371 |
Full Name | Michelle A Larson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2165 White Bear Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326001884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2047 (Minnesota) | Primary |
Provider Name | Group Health Plan Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Michelle A Larson, RD 8100 34th Ave S, Mail Stop 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-5463 | Michelle A Larson, RD 2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109-2798 Ph: (651) 779-1500 |
Ann Mulfinger, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 | |
Ella Trepashko Harpole, PA Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1997 Sloan Pl Ste 17, Maplewood, MN 55117 Phone: 651-772-6251 Fax: 651-294-9661 | |
Alexandra Lee, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-396-2273 | |
Kayley L Szondy, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2647 Van Dyke St, Maplewood, MN 55109 Phone: 612-616-8448 | |
Ashley Tix, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave Ste 302, Maplewood, MN 55109 Phone: 651-726-2058 | |
Sarah Rawitzer, RDN LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2167 Burr St, Maplewood, MN 55117 Phone: 651-309-7510 | |
Kelsey Kristyne Brandenburg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 |