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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN M MARTODAM, LRD

Active

SUSAN M MARTODAM, LRD is a Registered Dietitian healthcare provider located in DETROIT LAKES, Minnesota. NPI 1073531646 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · DETROIT LAKES, MN

Registration Details

NPI Number
1073531646
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2006 (20.046653874944 yrs)
Last Updated
Sep 16, 2008
License
2223 (MN)

Practice Information

Address
1245 WASHINGTON AVE
DETROIT LAKES, MN, 565013905
Browse MN providers · Browse ZIP 56501
Phone
2188462000
Fax
7012342045
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in DETROIT LAKES, MN

Name Credential NPI
MRS. STACY DAWN KOLL RD,LD 1861633653
MRS. WENDY LYNN GORDON R.D., RDH 1003214222
ALEXA STELZER RD 1659895175
HANNAH MARIE PRIGGE RD 1447759188
SHERRI L SOFTING RD, LD 1215548680
LANE RENEE LIPETZKY RD, LD 1093461766
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.