Individual
MARY ANNE VANOOSTERHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., CDE
Contact information
Practice address
9249 WEST LAKE CITY ROAD, HOUGHTON LAKE, MI 48629
(989) 422-5122
(989) 422-4378
Mailing address
9249 WEST LAKE CITY ROAD, HOUGHTON LAKE, MI 48629
(989) 422-5122
(989) 422-4378
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/09/2007
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