NPI 1003912429

Anne Mary Wallus

Practitioner Registered Dietitian Tomah, WI

Practice location

Address: 500 E Veterans St, Tomah, WI 54660-3105
Phone: (608) 372-3971
Fax: (608) 372-1109
Mailing address: 610 Pearl St, Tomah, WI 54660-1449

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1016029 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003912429
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.