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Contact Information

MARY B LAROCK, R.D.
1111 DELAFIELD ST STE 212
WAUKESHA, WI53188-3403
 Phone: 262-524-1024
 Fax: 262-524-8767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARY B LAROCK · (Female)

NPI # 1093836025
Status Active
Credentials R.D.
Entity Individual
Enumeration date 04/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # R528717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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