Individual
CHRISTINE SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N., C.D.
Contact information
Practice address
14065 BIRDSEYE RD, FENNIMORE, WI 53809-9660
(608) 822-6643
Mailing address
14065 BIRDSEYE RD, FENNIMORE, WI 53809-9660
(608) 822-6643
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
643584
WI
Other
Enumeration date
04/07/2014
Last updated
06/02/2015
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