Individual
CASEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-5006
Mailing address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-5006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3052-29
WI
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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