Organization · Type 2 NPI
Mary Rader Clinical Dietitian LLC
Health Service Clinic/Center · Wauwatosa, WI
NPI number
1225293079
Active
Practice location
611 N Mayfair Rd
Wauwatosa, WI 53226-4248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 827029 (WI) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1225293079
Mary Rader Clinical Dietitian LLC's National Provider Identifier is 1225293079, issued on Jul 22, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 12, 2008.