Individual
DR. MARIANNA SUSAN WETHERILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH, RDN-AP/LD
Contact information
Practice address
591 E. 36 ST. STREET NORTH, TULSA, OK 74106-1872
(918) 619-8700
Mailing address
1548 E 34TH ST, TULSA, OK 74105-2620
(918) 853-1877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1365
OK
Other
Enumeration date
04/06/2007
Last updated
08/06/2016
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