Individual
MRS. THERESA MARIE TENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2725 HILLSIDE DR STE A, DELAFIELD, WI 53018-2165
(262) 646-2123
Mailing address
2415 MADISON ST, ENTER YOUR SECOND ADDRESS, WAUKESHA, WI 53188-4627
(262) 894-0330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01044099
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01044099
ADA
WI
Enumeration date
10/17/2011
Last updated
10/17/2011
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