Individual
ELIZABETH C SMYCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4640
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2557-29
WI
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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