Individual
THOMAS PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RDN
Contact information
Practice address
320 S ACCESS RD STE 100, RICE LAKE, WI 54868-8572
(715) 236-3355
Mailing address
3163 HIDDEN PL APT 1, EAU CLAIRE, WI 54701-4938
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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