| Shannon Medenwald, RD | |
|
300 22nd Ave, Brookings, SD 57006-2480 | |
| (605) 696-9000 | |
| Not Available |
| Full Name | Shannon Medenwald |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 300 22nd Ave, Brookings, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144598889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 0419 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Medenwald, RD 4415 Calico Dr S, Apt 303, Fargo, ND 58104-8744 Ph: (701) 200-7233 | Shannon Medenwald, RD 300 22nd Ave, Brookings, SD 57006-2480 Ph: (605) 696-9000 |
Shaylee Hoff, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 522 Sweetgrass Dr Apt 112, Brookings, SD 57006 Phone: 605-610-6254 | |
Mrs. Katy J Vanderwal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 22nd Ave, Brookings, SD 57006 Phone: 605-696-9000 Fax: 605-696-7758 |