MS. Mary E Sikora-Petersen, MSE, RD, CD, CDE

NPI #1407807225 in Minocqua, Wisconsin

Provider Information

NPI Number: 1407807225
Entity Type: Individual
Name: MS. Mary E Sikora-Petersen, MSE, RD, CD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MSE, RD, CD, CDE
Enumeration Date: May 15, 2006
Last Updated: Sep 16, 2011

Practice Location

Address: 9601 TOWNLINE RD
City: Minocqua
State: Wisconsin
ZIP Code: 54548-1390
Phone: (715) 358-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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