Individual
GILDARDO MARTINEZ JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
610 N BROADWAY, GREEN BAY, WI 54303-3426
(920) 863-9356
Mailing address
424 S MONROE AVE, GREEN BAY, WI 54301-4054
(920) 437-7206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5101-29
WI
Other
Enumeration date
06/20/2024
Last updated
10/22/2025
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