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Search › Minnesota › 133V00000X

Wendy Gordon, R.D., RDH

NPI 1003214222 · on the registry since 2014 · sole proprietor

Practice

Address
1415 Madison Ave
Detroit Lakes, MN 56501
Phone
(218) 844-7161
Organisation at this address
Ecumen
Ecumen
Ecumen
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
MN, ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota