Individual
MADELINE SUZANNE TOTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
11575 SLADE CT, FORT WAYNE, IN 46818-1949
(260) 433-1962
Mailing address
11575 SLADE CT, FORT WAYNE, IN 46818-1949
(260) 433-1962
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
01/30/2025
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