Individual
MICHELLE M MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7780
(414) 777-0044
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7780
(414) 777-0044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2334-29
WI
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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