Individual
CAMILLE JEAN WIRKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 250-1357
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86177358
WI
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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