MEDICARE: TAYLOR GAIKOWSKI RDN, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	4452	MN

General Provider Information

NPI Number	:	1548107907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR GAIKOWSKI RDN, LD

Provider Business Mailing Address
First Line	:	10801 58TH ST NE
Second Line	:
City	:	ALBERTVILLE
State	:	MN
Zip	:	55301-9807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9875 HOSPITAL DR
Second Line	:
City	:	MAPLE GROVE
State	:	MN
Zip	:	55369-4648
Country	:	US
Telephone Number	:	763-581-1680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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