Individual
MACKENZIE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 263-7500
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3687-29
WI
171400000X
Health & Wellness Coach
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3687-29
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
09/07/2021
Last updated
02/24/2025
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