Renaye Wyganowski, RD, LD

NPI #1386011849 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1386011849
Entity Type: Individual
Name: Renaye Wyganowski, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 1430 HIGHWAY 96 E
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3653
Phone: (651) 653-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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