| Doctor Name: | MRS. MARILYN SUSAN BAME |
| NPI Number: | 1780817544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., L.D., C.D.E. |
| License Number: | 383926 |
| Business Practice Address: | 5871 Monclova Rd Diabetes Care Center @ St. Luke's Hospital Maumee, OH - 435371839 |
| Business Phone Number: | 4198978391 |
| Business Fax Number: | 4198878789 |
| Mailing Address: | 5871 Monclova Rd, Diabetes Care Center @ St. Luke's Hospital MAUMEE |
| State: | OH |
| Postal Code: | 435371839 |
| Phone Number: | 4198978391 |
| Fax Number: | 4198878789 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 383926 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |