| Doctor Name: | DENISE LESLIE DODSON |
| NPI Number: | 1952517146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., C.D., C.L.C. |
| License Number: | 1521-029 |
| Business Practice Address: | House Of Wellness S 2845 White Eagle Rd Baraboo, WI - 53913 |
| Business Phone Number: | 6083551240 |
| Business Fax Number: | 6083567152 |
| Mailing Address: | 539 S. 11th St., LA CRESCENT |
| State: | MN |
| Postal Code: | 559471513 |
| Phone Number: | 5078956822 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1521-029 |
| 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 |