Individual
STACEY M WEICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
120431 ROCK RD, STRATFORD, WI 54484-4280
(715) 506-0060
Mailing address
120431 ROCK RD, STRATFORD, WI 54484-4280
(715) 506-0060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
999381
WI
Other
Enumeration date
11/20/2021
Last updated
11/20/2021
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