Individual
MELITA WIEDENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.N.
Contact information
Practice address
1929 EILERS CT, HURON, SD 57350-3846
(605) 352-9034
(605) 352-9034
Mailing address
1929 EILERS CT, HURON, SD 57350-3846
(605) 352-9034
(605) 352-9034
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0035
SD
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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