ELLEN A SUSHAK

WEST BEND, WI
NPI1609090521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WI  2002)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- ELLEN A SUSHAK RD
205 VALLEY AVE
WEST BEND, WI 53095-5312
Phone number: 262-338-1123
Mailing Address
-- ELLEN A SUSHAK RD
1061 E COMMERCE BLVD
SLINGER, WI 53086-9326
Phone number: 262-644-2900
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