Individual
MRS. SUSAN MARIE MANTERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDDE
Contact information
Practice address
1560 UNIVERSITY AVE, DUBUQUE, IA 52001-4790
(563) 589-4899
(563) 589-4897
Mailing address
1560 UNIVERSITY AVE, DUBUQUE, IA 52001-4790
(563) 589-4899
(563) 589-4897
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
00564
IA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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