Individual
JOAN MAUREEN WANZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
9118 GREENBELT DR, URBANDALE, IA 50322-7446
(515) 278-4234
Mailing address
9118 GREENBELT DR, URBANDALE, IA 50322-7446
(515) 278-4234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00529
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379370
REGISTERED DIETITIAN
—
Enumeration date
02/23/2007
Last updated
07/09/2007
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