MR. Larry William Immenschuh, RDLD

NPI #1699914168 in Fort Sill, Oklahoma

Provider Information

NPI Number
1699914168
Entity Type
Individual
Name
MR. Larry William Immenschuh, RDLD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RDLD
Enumeration Date
Feb 6, 2009
Last Updated
Jan 29, 2019

Practice Location

Address
3009 N. W. WILSON STREET
ZIP Code
73503-9042
Phone
(580) 458-2134

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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