IndividualActive
Abbey Bubolz, RD
NPI 1356724686 · Registered Dietitian · Manitowoc, WI
Provider details
- NPI number
- 1356724686
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 2337 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
4311 Country Ln
Manitowoc, WI 54220-0701
Phone: (920) 860-6126
Approximate (ZIP-level) locationGet directions
Mailing address
4311 Country Ln
Manitowoc, WI 54220-0701
Registry dates
- Enumerated
- 2015-07-06
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.