Bonnie L. Gunckel, RD LD

NPI #1053353458 in Fort Wayne, Indiana

Provider Information

NPI Number
1053353458
Entity Type
Individual
Name
Bonnie L. Gunckel, RD LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD LD
Enumeration Date
Jun 11, 2006
Last Updated
Dec 17, 2008

Practice Location

Address
4210 FLAGSTAFF CV
State
Indiana
ZIP Code
46815-4417
Phone
(260) 489-9009

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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