Individual
POLLY A MIHALOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 STATE RD, LA CROSSE, WI 54601-5835
(608) 782-1855
(608) 782-1856
Mailing address
1919 STATE RD, LA CROSSE, WI 54601-5835
(608) 782-1855
(608) 782-1856
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1410
WI
Other
Enumeration date
12/06/2005
Last updated
01/12/2012
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