Mary A Georg, RD, CD
Dietitian, Registered in Fond Du Lac, WI. Individual provider (NPI-1).
NPI number1124154075
StatusActive
Last updated in NPPESJun 10, 2013
Details
- NPI
- 1124154075
- Entity type
- Individual (NPI-1)
- Name
- Mary A Georg
- Credential
- RD, CD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jun 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1405 | WI | Yes |
Practice location
420 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-8573
Mailing address
420 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-8340
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Dietitian providers in Fond Du Lac, WI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.