Organization
JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN WOELFEL RD, CDE (REGISTERED DIETITIAN)
(920) 831-0070
Entity
Organization
Contact information
Practice address
10 TRI-PARKWAY, APPLETON, WI 54914
(920) 831-0070
Mailing address
7187 ANGELL RD, OSHKOSH, WI 54904-9544
(920) 836-1998
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1456029
WI
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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