Individual provider · Type 1 NPI

Catherine Johnson Bogolub, MD, M.S.

Nutrition Education Nutritionist · St. Paul, MN

NPI number 1801106067 Active

Practice location

1424 Lincoln Ave
St. Paul, MN 55105-2216

Fax (651) 344-0445

Specialties and licenses

TaxonomyCodeLicense
Nutritionist 133N00000XN198 (MN)
Nutrition Education Nutritionist Primary 133NN1002XN198 (MN)

Nutrition Education Nutritionist: Definition to come...

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About NPI 1801106067

Catherine Johnson Bogolub, MD, M.S.'s National Provider Identifier is 1801106067, issued on Oct 20, 2010. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in St. Paul, MN. The record was last updated on Oct 20, 2010.