Tad Jacob Taggart, RD, CD

NPI #1508535006 in De Pere, Wisconsin

Provider Information

NPI Number: 1508535006
Entity Type: Individual
Name: Tad Jacob Taggart, RD, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, CD
Enumeration Date: Sep 8, 2021
Last Updated: Sep 8, 2021

Practice Location

Address: 1710 LAWRENCE DR STE 200
City: De Pere
State: Wisconsin
ZIP Code: 54115-9195
Phone: (920) 570-6339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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