Individual
PAMELA KLOSSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D. C.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2392
Mailing address
2456 N. 64TH STREET, WAUWATOSA, WI 53213
(414) 510-0612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804651
WI
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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