| Doctor Name: | GLORIA JEAN ROOHR-HYZER |
| NPI Number: | 1154566834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ND, CBFT |
| License Number: | |
| Business Practice Address: | 2396 250th Ave Cushing, WI - 540063607 |
| Business Phone Number: | 7156485670 |
| Business Fax Number: | 7156485782 |
| Mailing Address: | 2394 250th Ave, CUSHING |
| State: | WI |
| Postal Code: | 540063607 |
| Phone Number: | 7156485670 |
| Fax Number: | 7156485782 |
| NPI Enumeration Date: | 12/09/2008 |
| NPI Last Update Date: | 12/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |