Individual
SUSAN ANN DISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
1404 MEADOW LARK BLVD, WARSAW, IN 46580-2041
(574) 292-2337
Mailing address
1404 MEADOW LARK BLVD, WARSAW, IN 46580-2041
(574) 292-2337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001356A
IN
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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