| Vital Wellness Llc | |
|
746 W Lair Rd, Fairmont, MN 56031-1740 | |
| (320) 309-8913 | |
| Not Available |
| Full Name | Vital Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 746 W Lair Rd, Fairmont, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699696138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Wellness Llc 746 W Lair Rd, Fairmont, MN 56031-1740 Ph: (320) 309-8913 | Vital Wellness Llc 746 W Lair Rd, Fairmont, MN 56031-1740 Ph: (320) 309-8913 |
Anne Sheppard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 |
Lindsay Ann Dalluge, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 907 S State St, Fairmont, MN 56031 Phone: 507-238-4323 |
Carol Koskovich, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 |