Individual
JULIE MAE OLZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7373
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86254288
COMMISSION ON DIETETIC REGISTRATION
WI
Enumeration date
01/11/2022
Last updated
04/11/2023
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