Individual
MICHELLE RAE GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DIETITIAN
Contact information
Practice address
N3474 ADAMS RD, BRUCE, WI 54819
(715) 868-4848
(715) 868-4848
Mailing address
N3474 ADAMS ROAD, BRUCE, WI 54819
(715) 868-4848
(715) 868-4848
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1280-029
WI
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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