| Mrs Susan Marie Wiseman, RD, LD | |
|
200 Saint Clair Ave, Saint Marys, OH 45885-2400 | |
| (419) 394-3335 | |
| Not Available |
| Full Name | Mrs Susan Marie Wiseman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 200 Saint Clair Ave, Saint Marys, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699094433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4435 (Ohio) | Primary |
| Provider Name | Joint Township District Memorial Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Marie Wiseman, RD, LD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 394-3335 | Mrs Susan Marie Wiseman, RD, LD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 394-3335 |
Elizabeth Hoying, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-394-3335 | |
Julie Kay Echols, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Clair Ave, Saint Marys, OH 45885 Phone: 419-394-3335 Fax: 419-394-9527 | |
Mrs. Alicia Marie Luck, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 Defiance St, Saint Marys, OH 45885 Phone: 419-733-2788 |