Individual
MARJORIE L. STUCKWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3805A SPRING ST, MOUNT PLEASANT, WI 53405-1600
(262) 687-4011
Mailing address
3805A SPRING ST, MOUNT PLEASANT, WI 53405-1600
(262) 687-4011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2015-029
WI
133V00000X
Registered Dietitian
DT82069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8DF186
BCBS OF TEXAS
TX
01
—
966937
RD NUMBER
—
Enumeration date
02/07/2008
Last updated
01/29/2025
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