Susan R Willyard, DIETITIAN
NPI #1003996786 in Mayville, North Dakota
Provider Information
- NPI Number
- 1003996786
- Entity Type
- Individual
- Name
- Susan R Willyard, DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- DIETITIAN
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 42 6TH AVE SE
- Address 2
- UNION HOSPITAL
- City
- Mayville
- State
- North Dakota
- ZIP Code
- 58257
- Phone
- (701) 788-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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