Individual
EMILY HOPE KUBISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 735-5225
(175) 735-5388
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3204-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86098663
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
10/04/2017
Last updated
06/13/2022
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