Individual
MRS. SUSAN MARIE GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CD
Contact information
Practice address
57392 M 51 S, DOWAGIAC, MI 49047-9766
(269) 782-4141
(269) 782-8797
Mailing address
57392 M 51 S, DOWAGIAC, MI 49047-9766
(269) 782-4141
(269) 782-8797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
838623
IL
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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