MS. MARY AUSICH, RD, CDE

Dietitian, Registered

Active Individual
NPI: 1174032478

Practice Address

7901 S 12TH ST STE 200
Portage, MI 49024

Phone: (269) 341-8585

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 1024516 ()

Frequently Asked Questions

NPI 1174032478 is the National Provider Identifier for MS. MARY AUSICH, RD, CDE, a Dietitian, Registered provider located in Portage, MI. This NPI was enumerated on September 29, 2017.
MS. MARY AUSICH, RD, CDE practices at 7901 S 12TH ST STE 200, Portage, MI 49024.

Quick Facts

NPI
1174032478
Type
Individual
Enumerated
Sep 29, 2017
Last Updated
Jul 16, 2020

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