Individual
MR. VINCENT GENE SUHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CD
Contact information
Practice address
214 ROSEMARY AVE, MADISON, WI 53714-1842
(608) 616-5295
Mailing address
214 ROSEMARY AVE, MADISON, WI 53714-1842
(608) 616-5295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3027-29
WI
Other
Enumeration date
03/20/2019
Last updated
01/13/2020
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