| Kim L Petershack, CD | |
|
1313 Fish Hatchery Rd, Madison, WI 53715-1911 | |
| (608) 252-8000 | |
| (608) 283-7192 |
| Full Name | Kim L Petershack |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1313 Fish Hatchery Rd, Madison, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346206323 | NPI | - | NPPES |
| 1948 | Other | WI | DEAN HEALTH INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 15-029 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim L Petershack, CD 1313 Fish Hatchery Rd, Madison, WI 53715-1911 Ph: (608) 252-8000 | Kim L Petershack, CD 1313 Fish Hatchery Rd, Madison, WI 53715-1911 Ph: (608) 252-8000 |
Ms. Lauren Begnel, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1310 Mendota St Ste 119, Madison, WI 53714 Phone: 608-747-7878 | |
Mariana Gandolfo Bustamante, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 Science Dr, Madison, WI 53711 Phone: 608-265-8303 | |
Innovative Nutrition Solutions, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Donofrio Dr, Suite 120, Madison, WI 53719 Phone: 608-836-3473 Fax: 608-831-5319 | |
Mrs. Karyn Evelyn Moehring, MA, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Schroeder Ct, Suite 230, Madison, WI 53711 Phone: 608-467-3473 Fax: 608-831-5319 | |
Ann Marie Mader, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Ann M Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Rachael Shangraw, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 309-242-5548 |