Individual
MANDEE E VIMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 258-5020
(608) 258-5020
Mailing address
700 S PARK ST, ST MARYS HOSPITAL/DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 258-5020
(608) 258-5020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1743-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60318
DEAN HEALTH INSURANCE
WI
Enumeration date
04/25/2006
Last updated
07/09/2015
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