Individual
MARY E SIEMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-2046
Mailing address
1408 W HOMESTEAD DR, APPLETON, WI 54914-2030
(920) 380-1780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
198-029
WI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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