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NPI Code Detail

MEDICARE: SARAH E. VAN RIET RD, CDE, LN

MEDICARE: SARAH E. VAN RIET RD, CDE, LN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1473-29WI

General Provider Information

NPI Number : 1275600819
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH E. VAN RIET RD, CDE, LN
Provider Business Mailing Address
First Line : 5034 MARATHON DRIVE
Second Line : UWMF HEALTH EDUCATION
City : MADISON
State : WI
Zip : 53705-4713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5034 MARATHON DRIVE
Second Line : UWMF HEALTH EDUCATION
City : MADISON
State : WI
Zip : 53705-4713
Country : US
Telephone Number : 608-287-2770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 05/24/2021

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