Individual
TIM HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1807 E OLIVE ST APT 104, SHOREWOOD, WI 53211-2049
(920) 286-3306
Mailing address
1807 E OLIVE ST APT 104, SHOREWOOD, WI 53211-2049
(920) 286-3306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3859-29
WI
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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