Organization
IMPACT RD SERVICES LLC
Active
Other names
IMPACT Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KIERSTEN RUTH HAUGERUD MS, RDN, CD (REGISTERED DIETITIAN)
(715) 418-1665
Entity
Organization
Contact information
Practice address
1410 50TH ST, TURTLE LAKE, WI 54889-9134
(715) 418-1665
Mailing address
1410 50TH ST, TURTLE LAKE, WI 54889-9134
(715) 418-1665
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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