Individual
MEREDITH LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Mailing address
2817 NEW PINERY RD, PORTAGE, WI 53901-9240
(608) 742-4131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1522-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522-29
CERTIFIED DIETITIAN
WI
Enumeration date
02/26/2015
Last updated
02/26/2015
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