Individual
SAMUEL HUIZENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, RD
Contact information
Practice address
869 144TH AVE, WAYLAND, MI 49348-9733
(734) 929-8676
Mailing address
869 144TH AVE, WAYLAND, MI 49348-9733
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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