Individual
AUDREY T SHOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
580 N WASHINGTON ST, DEAN MEDICAL CENTER, JANESVILLE, WI 53548-2908
(608) 755-3500
(608) 755-3792
Mailing address
580 N WASHINGTON ST, DEAN MEDICAL CENTER, JANESVILLE, WI 53548-2908
(608) 755-3500
(608) 755-3792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1439-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6391
DEAN HEALTH INSURANCE
WI
Enumeration date
04/25/2006
Last updated
05/12/2008
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