Mary E Carroll, RD

NPI #1760527386 in New Berlin, Wisconsin

Provider Information

NPI Number: 1760527386
Entity Type: Individual
Name: Mary E Carroll, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14555 W NATIONAL AVE
Address 2: STE 165
City: New Berlin
State: Wisconsin
ZIP Code: 53151-4494
Phone: (262) 827-2959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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