Individual
MEGAN WIESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LN
Contact information
Practice address
3336 17TH AVE SW, WATERTOWN, SD 57201-6005
(605) 880-9690
Mailing address
3336 17TH AVE SW, WATERTOWN, SD 57201-6005
(605) 880-9690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0445
SD
Other
Enumeration date
05/13/2014
Last updated
12/23/2015
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