Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN VAN DE WALLE, MS, RD
Active Sole ProprietorGAVIN VAN DE WALLE, MS, RD is a Registered Dietitian healthcare provider located in SIOUX FALLS, South Dakota. NPI 1003398256 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SIOUX FALLS, SD
Registration Details
- NPI Number
- 1003398256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 4, 2018 (7.9015223795055 yrs)
- Last Updated
- Mar 14, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1601 E 77TH ST APT 1428SIOUX FALLS, SD, 571083036Browse SD providers · Browse ZIP 57108
- Phone
- 6053237222
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in SIOUX FALLS, SD
| Name | Credential | NPI |
|---|---|---|
| LESLYE ANN WIPF | R.D. | 1720054505 |
| JOYCE LILLIAN SCHONE | RD | 1558329698 |
| JODY JEANNE JOHNSON BURT | MA, RDN, LN, CNSC | 1811938459 |
| KENNETH DEWAYNE JOHNSON | R.D., L.N. | 1447286216 |
| MRS. CARLA MARIE GOETSCH | RD, LN | 1912928649 |
| JANICE V BRANDENBURGER | RDN | 1972515872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.