Individual
MRS. DONNA SUE SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN B.S.
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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