Individual
DENISE S VANDER KOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(715) 321-3208
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(715) 321-3208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
812
WI
Other
Enumeration date
09/23/2006
Last updated
08/10/2021
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