Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE RAE GUNN, CERTIFIED DIETITIAN
Active Sole ProprietorNutrition, Education · BRUCE, WI
Registration Details
- NPI Number
- 1417177718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2007 (19.024731321844 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1280-029 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N3474 ADAMS RDBRUCE, WI, 54819Browse WI providers · Browse ZIP 54819
- Phone
- 7158684848
- Fax
- 7158684848
- Primary Specialty
-
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.