| Doctor Name: | MS. MARY E SIKORA-PETERSEN |
| NPI Number: | 1407807225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE, RD, CD, CDE |
| License Number: | 1450 |
| Business Practice Address: | 9601 Townline Rd Minocqua, WI - 545481390 |
| Business Phone Number: | 7153581000 |
| Business Fax Number: | |
| Mailing Address: | 1000 N Oak Ave, MARSHFIELD |
| State: | WI |
| Postal Code: | 544495703 |
| Phone Number: | 7153875511 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 09/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1450 |
| 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 |