Individual
MS. LINDSAY K WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD. LD
Contact information
Practice address
4064 E 53RD ST, DAVENPORT, IA 52807-3033
(563) 355-5540
(563) 359-1137
Mailing address
4064 E 53RD ST, DAVENPORT, IA 52807-3033
(563) 355-5540
(563) 359-1137
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
089897
IA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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