| Mary Jo Brunner, RD, LD, CD | |
|
1617 E Division St, River Falls, WI 54022 | |
| (715) 307-6600 | |
| Not Available |
| Full Name | Mary Jo Brunner |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 19 Years |
| Location | 1617 E Division St, River Falls, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073535399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1826 (Wisconsin) | Primary |
| 133V00000X | Dietitian, Registered | 2563 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Allina Health System | 4587573613 | 3584 |
| Provider Name | Allina Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Provider Name | Allina Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Brunner, RD, LD, CD 1617 E Division St, River Falls, WI 54022-1571 Ph: (715) 307-6600 | Mary Jo Brunner, RD, LD, CD 1617 E Division St, River Falls, WI 54022 Ph: (715) 307-6600 |
Romaine S. Hanson, M.S, RD,, CD,, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: N8072 State Road 29, River Falls, WI 54022 Phone: 715-222-3650 | |
Sheryl Rust, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1629 E Division St, River Falls, WI 54022 Phone: 715-307-6430 Fax: 715-307-6405 | |
Debra M Sanders, RD CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1687 E Division St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-425-7075 |