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NPI #1427773498 in Indianapolis, Indiana

Provider Information

NPI Number: 1427773498
Entity Type: Organization
Organization Name: Built by Wikoff
Primary Specialty: Dietitian, Registered - Nutrition, Obesity and Weight Management
Enumeration Date: Oct 11, 2022
Last Updated: Oct 11, 2022

Practice Location

Address: 928 E MINNESOTA ST
City: Indianapolis
State: Indiana
ZIP Code: 46203-3920
Phone: (317) 999-7853

Authorized Official

Name: ASHLEY EAVES, RD
Title: CLINICIAN
Phone: (317) 999-7853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X	Primary

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