Individual
JACOB BRADLEY NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1366
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6152
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
03/19/2026
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