Individual
CARLY DUERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
W6068 PIONEER RD, NEW GLARUS, WI 53574-9735
(608) 512-6398
Mailing address
W6068 PIONEER RD, NEW GLARUS, WI 53574-9735
(608) 512-6398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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