Individual
MRS. MARILYN SUSAN BAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
5871 MONCLOVA RD, DIABETES CARE CENTER @ ST. LUKE'S HOSPITAL, MAUMEE, OH 43537-1839
(419) 897-8391
(419) 887-8789
Mailing address
5871 MONCLOVA RD, DIABETES CARE CENTER @ ST. LUKE'S HOSPITAL, MAUMEE, OH 43537-1839
(419) 897-8391
(419) 887-8789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
383926
—
Other
Enumeration date
08/27/2009
Last updated
10/18/2011
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