Doctor Name: | MONICA DAWN KNUDTSON |
NPI Number: | 1194057059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CD |
License Number: | 2192-029 |
Business Practice Address: | 1050 Division St Mauston, WI - 539481931 |
Business Phone Number: | 8002524377 |
Business Fax Number: | |
Mailing Address: | 951 Oak Ridge Ct, #602 MAUSTON |
State: | WI |
Postal Code: | 539482023 |
Phone Number: | 6088471296 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2010 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2192-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |