Tara L. Spisak, RD, LD, CDE

NPI #1134433618 in Bryan, Ohio

Provider Information

NPI Number
1134433618
Entity Type
Individual
Name
Tara L. Spisak, RD, LD, CDE
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD, CDE
Enumeration Date
Jul 27, 2010
Last Updated
Jul 27, 2010

Practice Location

Address
433 W HIGH ST
City
Bryan
State
Ohio
ZIP Code
43506-1690
Phone
(419) 630-2167

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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