SUSAN K. VANDERTIE

MILWAUKEE, WI
NPI1023221660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
MRS. SUSAN K. VANDERTIE RD CDE
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1143
Mailing Address
MRS. SUSAN K. VANDERTIE RD CDE
1010 N 122ND ST
WAUWATOSA, WI 53226-3312
Phone number: 414-259-1935