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Individual

SUE L ROSCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3330
(989) 463-2540
Mailing address
PO BOX 608, ALMA, MI 48801-0608
(989) 466-3330
(989) 463-2540

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
364144
COMMISSION ON DIETETIC REGISTRATION
MI
Enumeration date
08/06/2009
Last updated
08/06/2009
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