Individual
MARIAN SCHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LMNT
Contact information
Practice address
3763 39TH AVE STE 400, COLUMBUS, NE 68601-4530
(402) 563-0312
Mailing address
16905 L CIR, OMAHA, NE 68135-1467
(402) 669-2553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
977695
NE
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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