Individual
HEIDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 257-3831
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5048-29
WI
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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