Individual
MARY BETH EMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1111 W WASHINGTON ST, WEST BEND, WI 53095
(262) 334-3405
Mailing address
705 VILLAGE GREEN WAY UNIT 201, WEST BEND, WI 53090-2528
(262) 247-1050
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
08/31/2018
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