SearchMinnesota133V00000X

Stacy Koll, RD,LD

NPI 1861633653 · on the registry since 2009 · sole proprietor

Practice

Address
1027 Washington Ave
Detroit Lakes, MN 56501
Phone
(218) 847-0847
Fax
(218) 844-0704
Organisation at this address
Dl Surgery Center
St Marys Regional Health Center
St Mary'S Regional Health Center
St Mary'S Regional Health Center
St. Marys Regional Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
153

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-03-09

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