Individual
PAIGE GORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1501 S MADISON ST, APPLETON, WI 54915-1846
(920) 730-5313
Mailing address
1501 S MADISON ST, APPLETON, WI 54915-1846
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
368529
WI
133V00000X
Registered Dietitian
Primary
L007064
NC
Other
Enumeration date
11/21/2022
Last updated
04/25/2024
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