Individual
ANGELICA M GRONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 738-5359
(920) 831-5093
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 738-5359
(920) 831-5093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
155929
WI
Other
Enumeration date
07/25/2006
Last updated
05/06/2013
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