Individual
MACKENZIE WANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-4930
Mailing address
10101 S 27TH ST, FRANKLIN, WI 53132-7209
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6234-29
WI
Other
Enumeration date
01/09/2026
Last updated
02/05/2026
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