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Individual

ROSALYN D WISNIEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DIETITIAN

Contact information

Practice address
307 N MAIN ST, WINDSOR, MO 65360-1449
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1044
KS
133V00000X
Registered Dietitian
Primary
2005002999
MO

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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