Individual
BONNIE J HESSEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
110 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2351
(715) 627-6183
Mailing address
PO BOX 1405, WAUSAU, WI 54402-1405
(715) 847-2304
(715) 847-2321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1343-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023233822
—
WI
Enumeration date
04/16/2007
Last updated
08/12/2015
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