Individual
CHRISANNE M URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 WEST AVENUE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1214
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32728400
—
WI
Enumeration date
08/24/2006
Last updated
09/20/2024
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