Individual
AMBER M LANGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1992-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992-029
WISCONSIN LICENSE
WI
Enumeration date
09/21/2007
Last updated
09/21/2007
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