Individual
MARY T WITHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Mailing address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 497-3126
(920) 497-3176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
455439
—
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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