Doctor Name: | MARY C ROSE |
NPI Number: | 1114094190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 1115 |
Business Practice Address: | 945 N 12th St Milwaukee, WI - 532331305 |
Business Phone Number: | 4142192000 |
Business Fax Number: | |
Mailing Address: | 3801 N 92nd St, MILWAUKEE |
State: | WI |
Postal Code: | 532222503 |
Phone Number: | 4145351956 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |