Provider Demographics
NPI:1356442545
Name:OFFERLE, LINDA MARIE (RD)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:OFFERLE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:297 MARK HANNAH CT
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1319
Mailing Address - Country:US
Mailing Address - Phone:734-657-9887
Mailing Address - Fax:
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-845-3883
Practice Address - Fax:734-845-3272
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered