Individual
CATHY WUSTERBARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 739-1469
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(989) 739-1469
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808822
MI
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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