Individual
ANN WILCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD/LD
Contact information
Practice address
1755 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 898-5020
(952) 898-5858
Mailing address
1755 SOUTHCROSS DR W, BURNSVILLE, MN 55306-7012
(952) 898-5020
(952) 898-5858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2749
MN
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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