Heather J Fortin, R.D.,C.D.,C.S.C.S.
NPI #1114958378 in Lac Du Flambeau, Wisconsin
Provider Information
- NPI Number
- 1114958378
- Entity Type
- Individual
- Name
- Heather J Fortin, R.D.,C.D.,C.S.C.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.,C.D.,C.S.C.S.
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 450 OLD ABE RD
- City
- Lac Du Flambeau
- State
- Wisconsin
- ZIP Code
- 54538-9682
- Phone
- (715) 588-4279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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