NPI 1003967654

Ty A. Mulholland

Practitioner Registered Dietitian Richland Center, WI

Practice location

Address: 333 E 2nd St, Richland Center, WI 53581-1914
Phone: (608) 647-6321

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 155 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1003967654
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2007
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.