Individual
EMILY T ENGELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5509
(920) 361-5499
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2999
WI
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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