Doctor Name: | SUSAN M BLOCK |
NPI Number: | 1649201062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 18 |
Business Practice Address: | 1501 Thompson St Bloomer, WI - 547241257 |
Business Phone Number: | 7158385222 |
Business Fax Number: | |
Mailing Address: | 1501 Thompson St, BLOOMER |
State: | WI |
Postal Code: | 547241257 |
Phone Number: | 7158385222 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 18 |
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 |