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Individual
MEGAN MARIE WALTZ
Active
Individual
MEGAN MARIE WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
878904
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1686-29
CERTIFIED DIETITIAN
WI
Enumeration date
01/26/2010
Last updated
02/03/2010
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