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Individual
MICHELLE PETKOVSEK
Active
Individual
MICHELLE PETKOVSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5001-29
WI
174H00000X
Health Educator
5001-29
WI
Other
Enumeration date
08/30/2022
Last updated
12/14/2023
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