Individual
KATHRYN SURNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
32255 NORTHWESTERN HWY, SUITE 30, FARMINGTON HILLS, MI 48334-1566
(248) 851-1419
Mailing address
32255 NORTHWESTERN HWY, SUITE 30, FARMINGTON HILLS, MI 48334-1566
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
86046850
MI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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