Individual
KATHERINE M RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 453-3920
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 453-3920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3243
WI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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