Individual
MS. MARY E SIKORA-PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, RD, CD, CDE
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-1390
(715) 358-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1450
WI
Other
Enumeration date
05/15/2006
Last updated
09/16/2011
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