Individual
GENDA SUE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9873
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2375-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375-29
STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
01
—
713749
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
09/28/2022
Last updated
09/28/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us