Individual
MRS. PAM DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
770 N. MAIN ST., LANSE, MI 49946-9536
(906) 524-2200
(906) 524-3408
Mailing address
73 JENTOFT RD, LANSE, MI 49946-1216
(906) 524-4797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
892713
MI
Other
Enumeration date
05/20/2006
Last updated
04/14/2011
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