Individual
TAWNYA JO KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2600 65TH AVENUE, OSCEOLA, WI 54020-0218
(715) 294-2111
(715) 294-5758
Mailing address
PO BOX 218, 2600 65TH AVENUE, OSCEOLA, WI 54020-0218
(715) 294-2111
(715) 294-5758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2222
WI
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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