Gavin Van De Walle, MS, RD
NPI #1003398256 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1003398256
- Entity Type
- Individual
- Name
- Gavin Van De Walle, MS, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RD
- Enumeration Date
- Sep 4, 2018
- Last Updated
- Mar 14, 2020
Practice Location
- Address
- 1601 E 77TH ST APT 1428
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57108-3036
- Phone
- (605) 323-7222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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