Individual
MRS. ELLEN MARIE RASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CD
Contact information
Practice address
W243N2755 CREEKSIDE DR, PEWAUKEE, WI 53072-5881
(262) 902-5654
Mailing address
W243N2755 CREEKSIDE DR, PEWAUKEE, WI 53072-5881
(262) 902-5654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1728-29
WI
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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