| Doctor Name: | MRS. JANIS MARIA BIETHMAN |
| NPI Number: | 1235393968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., L.D. |
| License Number: | 164.001367 |
| Business Practice Address: | 800 Ste Genevieve Dr Ste Genevieve, MO - 636701434 |
| Business Phone Number: | 5738832751 |
| Business Fax Number: | 5738837796 |
| Mailing Address: | 800 Ste Genevieve Dr, P.o. Box 468 STE GENEVIEVE |
| State: | MO |
| Postal Code: | 636701434 |
| Phone Number: | 5738832751 |
| Fax Number: | 5738837796 |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 07/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 164.001367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |