NPI 1114647203

Michelle Petkovsek, RDNCD

Practitioner Registered Dietitian Reedsburg, WI

Practice location

Address: 2000 N Dewey Ave, Reedsburg, WI 53959-1049
Phone: (608) 768-6129
Mailing address: 603 Granite Ave, Reedsburg, WI 53959-1874

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 5001-29 (WI)

Other Dietitian, Registered providers in Wisconsin →

Health Educator

Other Service Providers Taxonomy 174H00000X Licence 5001-29 (WI)

Other Health Educator providers in Wisconsin →

Registry record

NPI: 1114647203
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2022
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.