Individual
KATIE JOHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E FRONT AVE, BISMARCK, ND 58504-5689
(701) 355-1540
(701) 221-6883
Mailing address
500 E FRONT AVE, BISMARCK, ND 58504-5689
(701) 355-1540
(701) 221-6883
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
907
ND
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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