Doctor Name: | KRISTEN WALLENSLAGER |
NPI Number: | 1255735858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CD |
License Number: | 2591 |
Business Practice Address: | 4545 N 92nd St Wauwatosa, WI - 532254807 |
Business Phone Number: | 4144643880 |
Business Fax Number: | |
Mailing Address: | 2600 Fox Ct, WAUKESHA |
State: | WI |
Postal Code: | 531896865 |
Phone Number: | 2625105896 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2591 |
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 |