Individual
MAXINE CIMPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
1280 PROSPECT CMNS APT 115, SUN PRAIRIE, WI 53590-7027
(608) 620-9353
Mailing address
PO BOX 332, MAZOMANIE, WI 53560-0332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2718-29
WI
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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