Individual
CONNIE BLOEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED DIETICIAN
Contact information
Practice address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 272-1010
Mailing address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 272-1010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
338-29
WI
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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