Individual
ELIZABETH MARIE MOCADLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,MS,CDE
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494
(715) 423-6060
Mailing address
PO BOX 8080, WISCONSIN RAPIDS, WI 54495-8080
(715) 423-6060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
551511
WI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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