Provider Demographics
NPI:1780336214
Name:MOLSKI, CHRISTINA MAY (RDN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MAY
Last Name:MOLSKI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8741 PINE ST
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-8920
Mailing Address - Country:US
Mailing Address - Phone:715-459-9855
Mailing Address - Fax:
Practice Address - Street 1:8741 PINE ST
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-8920
Practice Address - Country:US
Practice Address - Phone:715-459-9855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered