NPI 1003996786

Susan R Willyard, DIETITIAN

Practitioner Registered Dietitian Mayville, ND

Practice location

Address: 42 6th Ave SE Union Hospital, Mayville, ND 58257
Phone: (701) 788-3800
Fax: (701) 788-2145

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 182 (ND)

Other Dietitian, Registered providers in North Dakota →

Registry record

NPI: 1003996786
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 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.