Carol Koskovich, RD Valid NPI
Individual provider · Registered Dietitian · Fairmont, MN
- NPI
- 1962487066
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 1662 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-12-12
- Last updated
- 2007-07-09
Practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
(507) 238-8555