Individual
BRENDA JEAN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, F4/120, MC 1510, MADISON, WI 53792-0001
(608) 263-8246
(608) 262-1636
Mailing address
600 HIGHLAND AVE, F4/120, MC 1510, MADISON, WI 53792-0001
(608) 263-8246
(608) 262-1636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
864020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630-29
CERTIFIED DIETITIAN
WI
Enumeration date
01/19/2010
Last updated
01/20/2010
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