-- MARY G BOLL -- RD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1144303322- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RD
- Status
- Active
Contact & Location
- Address
- 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 530813129
- Phone
- (920) 457-4461
Specialties & Taxonomies
Dietitian, Registered
Primary License: WI #471