Individual
TAMMY L SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD (DIETITIAN)
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
(920) 433-8765
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-0111
(920) 433-8765
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1652-29
WI
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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