Individual
MARY FARRELL GUTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.B.A.
Contact information
Practice address
24230 KARIM BOULEVARD, SUITE 130, NOVI, MI 48375-2953
(248) 919-1100
(248) 919-1109
Mailing address
24230 KARIM BOULEVARD, SUITE 130, NOVI, MI 48375-2953
(248) 919-1100
(248) 919-1109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R603485
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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