Diana Marie Pederson, RDCD
Dietitian, Registered in Madison, WI. Individual provider (NPI-1).
NPI number1578747630
StatusActive
Last updated in NPPESMay 26, 2009
Details
- NPI
- 1578747630
- Entity type
- Individual (NPI-1)
- Name
- Diana Marie Pederson
- Credential
- RDCD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- May 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2067-29 | WI | Yes |
Practice location
20 S Park StMadison, WI 53715-1348
Phone 608-287-2770 · Fax 608-287-2777
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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