NPI Profile for JEAN A HARTL in DETROIT LAKES, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X | |||
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional |
| NPI Number | 1912950007 |
|
| Status | Active | |
| Credentials | RDLD/CDE | |
| Entity | Individual | |
| Enumeration date | 05/18/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEAN A HARTL
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