Individual
REBECCA REISDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, F8/157, MADISON, WI 53792-0001
(608) 890-9553
Mailing address
600 HIGHLAND AVE, F8/157, MADISON, WI 53792-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2706-29
WI
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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