Individual
TAMMY L FUMUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 251-6100
Mailing address
700 S PARK ST, ST MARYS HOSPITAL DEAN MEDICAL CENTER, MADISON, WI 53715-1849
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1424-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60652
DEAN HEALTH INSURANCE
WI
Enumeration date
12/05/2006
Last updated
01/28/2008
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