institution
Mary Rader Clinical Dietitian Llc
Health Service Clinic/Center in Wauwatosa, Wisconsin
NPI 1225293079

Mary Rader Clinical Dietitian Llc is a Health Service Clinic/Center based in Wauwatosa, WI and is specialized in Health Service. Mary Rader Clinical Dietitian Llc practices in Wauwatosa, WI. The NPI Number for Mary Rader Clinical Dietitian Llc is 1225293079 and holds a License No. 827029 (Wisconsin).

The current practice location address for Mary Rader Clinical Dietitian Llc is 611 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-258-2255. You can also correspond with Mary Rader Clinical Dietitian Llc through the mailing address at 611 N MAYFAIR RD, WAUWATOSA, WI - 53226-4248 (mailing address contact number: 414-258-2255).

Location: 611 N Mayfair Rd, Wauwatosa, WI, 53226-4248
institution
Provider Profile Details
NPI Number
1225293079
Provider Name
Mary Rader Clinical Dietitian Llc
Credential
Provider Entity Type
Organization
Address
611 N Mayfair Rd, Wauwatosa, WI, 53226-4248
Phone Number
414-258-2255
Fax Number
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 N Mayfair Rd
City
State
Zip
53226-4248
Phone Number
414-258-2255
Fax Number
person
Provider Business Mailing Address Details
Address
611 N Mayfair Rd
City
State
Zip
53226-4248
Phone Number
414-258-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
827029 (Wisconsin)
Definition
Definition to come...
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