Great Lakes Dietary Counseling, Llc

NPI 1083842116 - Clinic/Center - 261QH0100X

NPI Details
NPI 1083842116
Enumeration Date 06/27/2009
Last Updated 07/28/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOSEFINE JOSEFINE
Position REGISTERED DIETITIAN
Phone (586) 291-5669
Fax
Practice Location
36151 MORAVIAN DR
CLINTON TOWNSHIP MI, 48035-1148, US
Phone (586) 291-5669
Fax
Business Location
36151 MORAVIAN DR
CLINTON TOWNSHIP MI, 48035-1148, US
Phone (586) 291-5669
Fax
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number 947399
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According to our database, Great Lakes Dietary Counseling, Llc NPI is 1083842116, taxonomy code is 261QH0100X and license number is 947399, license state is located at . Great Lakes Dietary Counseling, Llc physically located at 36151 Moravian Dr, Clinton Township MI, 48035-1148. NPI Number 1033115704 has the healthcare provider type.

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1083842116 NPI number is provided on an as is basis without warranty of any kind. 1083842116 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Dietary Counseling, Llc are for informational purposes only.