Individual
RENE A WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
707 14TH ST, BARABOO, WI 53913-1539
(608) 356-1400
Mailing address
707 14TH ST, BARABOO, WI 53913-1539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2381029
WI
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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