Individual
ABBEY BUBOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4311 COUNTRY LN, MANITOWOC, WI 54220-0701
(920) 860-6126
Mailing address
4311 COUNTRY LN, MANITOWOC, WI 54220-0701
(920) 860-6126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2337
WI
Other
Enumeration date
07/06/2015
Last updated
07/25/2025
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