Individual
MRS. GINA A WILTHEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
700 S STANFIELD RD STE A, TROY, OH 45373-2569
(937) 339-5355
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210963
—
OH
Enumeration date
04/09/2014
Last updated
01/20/2023
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