Individual
TODD WILLIAM NIEMIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
9732 WILDERNESS BATTLE CIR, SAINT LOUIS, MO 63123-4336
(618) 719-4275
Mailing address
9732 WILDERNESS BATTLE CIR, SAINT LOUIS, MO 63123-4336
(618) 719-4275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000000
IL
133V00000X
Registered Dietitian
2014011385
MO
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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