Mary A Georg, RD, CD
NPI #1124154075 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1124154075
- Entity Type
- Individual
- Name
- Mary A Georg, RD, CD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, CD
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jun 10, 2013
Practice Location
- Address
- 420 E DIVISION ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4560
- Phone
- (920) 926-8573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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