Individual
BARBARA SUE GROBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1774
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-1774
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
883795
WI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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