Individual
SUSAN RENEE VAN DUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Mailing address
6304 THORNAPPLE VALLEY DR, HASTINGS, MI 49058-7205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
847147
MI
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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