Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Hagstrom, RD, LD

Individual provider Registered Dietitian · NPI 1154957462

Mary Hagstrom, RD, LD is a Registered Dietitian in Fergus Falls, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

712 Cascade St S
Fergus Falls, MN 56537
Phone: (218) 736-8059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 4292 (MN)

Record details

NPI number1154957462
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2020
Certification dateMarch 18, 2020

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