Mark G Glen in Rochester - Dietitian, Registered

Mark G Glen - NPI 1346210036

Mark G Glen is a Dietitian, Registered in Rochester, Minnesota. Mark G Glen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mark G Glen is 1346210036. The last update date is 2007-07-08.

Mark G Glen's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Mark G Glen is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark G Glen
Address 200 1st St Sw, Rochester, Minnesota
Phone Number 5072842511
Fax Number
Sole Proprietor X
Credentials RD

NPI Number Detail

NPI Number 1346210036
Provider Enumeration Date 2006-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 1st St Sw
City Rochester
State Minnesota (MN)
Post Code 559050001
Phone Number 5072842511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 1948
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Mark G Glen

What is the unique provider identifier assigned to Mark G Glen?

The Mark G Glen has been issued the NPI (National Provider Identifier) 1346210036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mark G Glen?

The Mark G Glen is physically situated at 200 1St St Sw, in the city of Rochester, state of MN, with the postal code 559050001.

What is Mark G Glen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark G Glen's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date did the Mark G Glen receive its 1346210036 assignment from the Centers for Medicare & Medicaid Services?

The Mark G Glen was assigned its 1346210036 by the Centers for Medicare & Medicaid Services on 2006-01-25.

As of what date was the information pertaining to Mark G Glen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark G Glen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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