Grace Denman, | |
333 E 2nd St, Richland Center, WI 53581-1914 | |
(608) 647-6321 | |
Not Available |
Full Name | Grace Denman |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 333 E 2nd St, Richland Center, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386287951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 3392-29 (Wisconsin) | Primary |
Provider Name | Richland Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
Mailing Address | Practice Location Address |
---|---|
Grace Denman, 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 | Grace Denman, 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321 |
Ty A. Mulholland, Dietitian Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Mary Jo Coleman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 | |
Julie Esser, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321 |