Individual
CALLIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1700 PARADISE DR, WEST BEND, WI 53095-9000
(262) 334-3451
Mailing address
1700 PARADISE DR, WEST BEND, WI 53095-9000
(262) 334-3451
(262) 334-0041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2742
WI
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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