Individual
ROSELLIE MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
1189 MATHER ST, GREEN BAY, WI 54303-4050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5640-29
WI
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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