MRS. Susan Marie Wiseman, R.D., L.D.

NPI #1699094433 in Saint Marys, Ohio

Provider Information

NPI Number: 1699094433
Entity Type: Individual
Name: MRS. Susan Marie Wiseman, R.D., L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D., L.D.
Enumeration Date: May 19, 2010
Last Updated: May 19, 2010

Practice Location

Address: 200 SAINT CLAIR AVE
City: Saint Marys
State: Ohio
ZIP Code: 45885-2400
Phone: (419) 394-3335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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