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Individual

LISA A GRUDZIELANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,RD,CD, CDE

Contact information

Practice address
16535 W BLUEMOUND RD, BROOKFIELD, WI 53005-5936
(414) 732-4962
Mailing address
1760 WOODLAND WAY, SLINGER, WI 53086-9059
(414) 732-4962
(262) 794-3146

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1731-029
WI

Other

Enumeration date
08/30/2006
Last updated
01/26/2013
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