Individual
PAMELA J SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-8896
Mailing address
100 MICHIGAN ST NE, MC 109, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
505821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
505821
STATE REGISTRATION
MI
Enumeration date
03/07/2007
Last updated
07/08/2007
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