Tad Jacob Taggart, RD, CD
Dietitian, Registered in De Pere, WI. Individual provider (NPI-1).
NPI number1508535006
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1508535006
- Entity type
- Individual (NPI-1)
- Name
- Tad Jacob Taggart
- Credential
- RD, CD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | WI | Yes |
Practice location
1710 Lawrence Dr Ste 200De Pere, WI 54115-9195
Phone 920-570-6339
Mailing address
1657 Lenwood Ave Apt 7Green Bay, WI 54303-5397
Phone 920-246-4886
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Other Registered Dietitian providers in De Pere, WI
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- Debbie GuenterbergNPI 1144636309
- Rosalyn H Haase, RD CDNPI 1033121975
- Callie Anne Lebrun, RD, CDNPI 1750965992
- Becky Schmechel, R.D., C.D.NPI 1780049882
All 7 Registered Dietitian providers in De Pere · All 764 providers in De Pere
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