Individual
MISCHEL MARIE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2400 S 90TH ST, WEST ALLIS, WI 53227
(414) 328-6214
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164-002921
IL
133V00000X
Registered Dietitian
Primary
3790-29
WI
Other
Enumeration date
04/04/2007
Last updated
12/29/2023
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