SUSAN M MARTODAM LRD
NPI 1073531646
Dietitian, Registered in Detroit Lakes, MN

Q: What is Susan Martodam's NPI number?

The NPI number for Susan Martodam is 1073531646. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Susan Martodam's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Martodam was last updated on September 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2006

1245 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 846-2000(701) 234-2045 Get Directions Write a Review

NPPES record last updated: September 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Susan M Martodam Lrd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN M MARTODAM LRD (NPI 1073531646) is an individual dietitian, registered in Detroit Lakes, Minnesota, licensed in Minnesota (2223) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073531646

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSAN M MARTODAMCredential: LRD

Location Address1245 WASHINGTON AVEDetroit Lakes, MN 56501-3905

Mailing Address1245 Washington AveDetroit Lakes, MN 56501-3905 · (218) 846-2000 · Fax (701) 234-2045

Phone(218) 846-2000

Fax(701) 234-2045

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateSeptember 16, 2008

✔ NPI 1073531646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MN · 2223

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1245 WASHINGTON AVE, Detroit Lakes, MN 56501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK DAVID LINDQUIST MD

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