Individual
MRS. MARY KATHRYN MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1515 MOWER COURT, WAUWATOSA, WI 53213
(414) 704-0063
Mailing address
1515 MOWER COURT, WAUWATOSA, WI 53213
(414) 704-0063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2699-29
WI
Other
Enumeration date
09/12/2012
Last updated
01/14/2014
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