Individual
VIVA MARIE JOHANKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CD
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
1241 WHEATFIELD WAY, OSHKOSH, WI 54904
(920) 426-0247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1709-029
WI
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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