Provider Demographics
NPI:1740604834
Name:MANKOWSKI, ALLISON KATHRYN (MPH, RD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:KATHRYN
Last Name:MANKOWSKI
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 TRAVERWOOD DR
Mailing Address - Street 2:SUITE A6
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2197
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2025 TRAVERWOOD DR
Practice Address - Street 2:SUITE A6
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2197
Practice Address - Country:US
Practice Address - Phone:734-677-2708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered