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Individual

MR. MICHAEL JOSEPH OUELLETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, RDN, CDN

Contact information

Practice address
480 NAUBUC AVE, GLASTONBURY, CT 06033-1016
(860) 494-2400
(860) 494-2402
Mailing address
125 LASALLE RD STE 208, WEST HARTFORD, CT 06107-2311
(860) 906-1289
(860) 906-1269

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/16/2020
Last updated
02/21/2024
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