Doctor Name: | KAREN M VIGER |
NPI Number: | 1336184530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDE |
License Number: | R28118 |
Business Practice Address: | 275 11th St S Wahpeton, ND - 580754655 |
Business Phone Number: | 7016422000 |
Business Fax Number: | 7016714153 |
Mailing Address: | Po Box 6001, FARGO |
State: | ND |
Postal Code: | 581086001 |
Phone Number: | 7016422000 |
Fax Number: | 7016714153 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | R28118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |