MARY KATHRYN AUSICH

PORTAGE, MI
NPI1174032478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   1024516)
Enumeration Date2017-09-29
Last Update Date2020-07-16
Business Address
Ms. MARY KATHRYN AUSICH RD, CDE
7901 S 12TH ST STE 200
PORTAGE, MI 49024-3831
Phone number: 269-341-8585
Mailing Address
Ms. MARY KATHRYN AUSICH RD, CDE
601 JOHN STREET BOX 39
KALAMAZOO, MI 49007
Phone number: