NPI 1023221660
Susan K. Vandertie, RDCDE
Practice location
- Address
- 2323 N Lake Dr, Milwaukee, WI 53211-4508
- Phone
- (414) 291-1143
- Fax
- (414) 291-1999
- Mailing address
- 1010 N 122nd St, Wauwatosa, WI 53226-3312
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1023221660
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 May 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.