Doctor Name: | ANN WILCEK |
NPI Number: | 1649433053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD/LD |
License Number: | 2749 |
Business Practice Address: | 1755 Southcross Dr W Burnsville, MN - 553067012 |
Business Phone Number: | 9528985020 |
Business Fax Number: | 9528985858 |
Mailing Address: | 1755 Southcross Dr W, BURNSVILLE |
State: | MN |
Postal Code: | 553067012 |
Phone Number: | 9528985020 |
Fax Number: | 9528985858 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |