Individual
LISA ANN WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3330
(989) 463-2540
Mailing address
PO BOX 188, ALMA, MI 48801-0188
(989) 466-3349
(989) 466-7454
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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