IndividualActive
Samuel Alexander, DC, LN
NPI 1134635485 · Nutritionist · Roseville, MN
Provider details
- NPI number
- 1134635485
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- DC, LN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6450 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Chiropractic Providers
Practice location
1700 S Hwy 36 Service Dr
#400
Roseville, MN 55113-2453
Phone: (507) 519-0552
Approximate (ZIP-level) locationGet directions
Mailing address
10725 202nd St W
Lakeville, MN 55044-7861
Registry dates
- Enumerated
- 2017-12-22
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.