Individual
DEANNA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
2208 ALLEN LN, WAUKESHA, WI 53186-1651
(262) 896-0541
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1815
WI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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