Individual
THERESA KOLB MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548
(715) 358-1036
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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