MS. Mary Kathryn Ausich, RD, CDE

NPI #1174032478 in Portage, Michigan

Provider Information

NPI Number: 1174032478
Entity Type: Individual
Name: MS. Mary Kathryn Ausich, RD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, CDE
Enumeration Date: Sep 29, 2017
Last Updated: Jul 16, 2020

Practice Location

Address: 7901 S 12TH ST STE 200
City: Portage
State: Michigan
ZIP Code: 49024-3831
Phone: (269) 341-8585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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