Individual
GAIL L UNDERBAKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
21 S VINE STREET, BELLEVILLE, WI 53508
(608) 424-3384
(608) 424-6353
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
220
WI
Other
Enumeration date
05/16/2006
Last updated
05/01/2009
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