NPI 1134236490

Johnilee Slark, RD

Practitioner Registered Dietitian Marshfield, WI

Practice location

Address: 1000 N Oak Ave, Marshfield, WI 54449-5777
Phone: (715) 387-5480

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 421 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1134236490
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2006
Record last updated: 8 Jul 2007

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.