Courtney Ann Immel, RD, CD

NPI #1902502024 in West Bend, Wisconsin

Provider Information

NPI Number: 1902502024
Entity Type: Individual
Name: Courtney Ann Immel, RD, CD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, CD
Enumeration Date: Jan 31, 2023
Last Updated: Jan 31, 2023

Practice Location

Address: 5595 COUNTY ROAD Z
City: West Bend
State: Wisconsin
ZIP Code: 53095-9224
Phone: (262) 334-1680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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