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NPI Code Detail

MEDICARE: GABRIELLA I WALKER RD

MEDICARE: GABRIELLA I WALKER RD
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
1133V00000XRegistered Dietitian5482MN

General Provider Information

NPI Number : 1649165523
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA I WALKER RD
Provider Business Mailing Address
First Line : 121 WASHINGTON AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-1619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 WASHINGTON AVE N
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-1619
Country : US
Telephone Number : 612-749-1510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2025
Last Update Date : 11/26/2025

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Directions to “ GABRIELLA I WALKER RD” Practice Location

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