Healthcare Provider Details

I. General information

NPI: 1023044914
Provider Name (Legal Business Name): NATALIA G WOEHL RD.CD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W WHITE OAK WAY
MEQUON WI
53092-6251
US

IV. Provider business mailing address

400 W WHITE OAK WAY
MEQUON WI
53092-6251
US

V. Phone/Fax

Practice location:
  • Phone: 414-766-1123
  • Fax:
Mailing address:
  • Phone: 414-766-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: