Individual
JUDITH SOWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-5566
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1814-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1814-29
CERTIFIED DIETITIAN
WI
01
—
716438
REGISTERED DIETITIAN
WI
Enumeration date
06/05/2014
Last updated
06/05/2014
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