| NPI | 1124774427 |
|---|---|
| Former Legal Business Name | TROLLWAY DIABETES CARE |
| Former Legal Business Name | TROLLWAY DIABETES CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | JILL KRISTEN KIETZKE Program Coordinator 608-512-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |