NPI 1073792644

Susan Marie Manternach, RDLDCDDE

Practitioner Metabolic Nutrition Registered Dietitian Dubuque, IA

Practice location

Address: 1560 University Ave, Dubuque, IA 52001-4790
Phone: (563) 589-4899
Fax: (563) 589-4897

Registered specialties

Metabolic Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1006X Licence 00564 (IA)

Other Dietitian, Registered providers in Iowa →

Registry record

NPI: 1073792644
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2007
Record last updated: 30 Oct 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.