Bonnie J Hessedal RD

NPI 1023233822 - Dietetic Technician, Registered - 136A00000X

NPI Details
NPI 1023233822
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
110 E 5TH AVE
ANTIGO WI, 54409-2710, US
Phone (715) 623-2351
Fax (715) 627-6183
Business Location
PO BOX 1405
WAUSAU WI, 54402-1405, US
Phone (715) 847-2304
Fax (715) 847-2321
Toxanomy
Taxonomy Code 136A00000X
License State Wisconsin
License Number 1343
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According to our database, Bonnie J Hessedal RD NPI is 1023233822, taxonomy code is 136A00000X and license number is 1343, license state is located at Wisconsin. Bonnie J Hessedal RD physically located at 110 E 5th Ave, Antigo WI, 54409-2710. NPI Number Bonnie J Hessedal RD has the Individual type.

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1023233822 NPI number is provided on an as is basis without warranty of any kind. 1023233822 is maintained by the National Plan & Provider Enumeration System. The contents of Bonnie J Hessedal RD are for informational purposes only.