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Organization

MM NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE MARIE MUZILLA RD LD (OWNER)
(330) 285-2471
Entity
Organization

Contact information

Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 662-4896
Mailing address
986 COUNTY RD N, STOUGHTON, WI 53589-4242
(330) 285-2471
(234) 702-0132

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/16/2018
Last updated
08/07/2024
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