Individual
WILLIAM SOLOMON WONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMNT, RD
Contact information
Practice address
400 SOLDIER CREEK ROAD, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Mailing address
PO BOX 400, ROSEBUD, SD 57570-0400
(605) 747-2231
(605) 747-2216
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
966
NE
133V00000X
Registered Dietitian
Primary
966
NE
Other
Enumeration date
08/12/2010
Last updated
02/18/2011
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