Individual
CARLY J. DEGROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2770
(608) 287-2777
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1922
WI
Other
Enumeration date
08/25/2006
Last updated
03/02/2009
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