Organization
SAMUEL HUIZENGA NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL HUIZENGA RD (REGISTERED DIETITIAN)
(734) 929-8676
Entity
Organization
Contact information
Practice address
869 144TH AVE, WAYLAND, MI 49348-9733
(734) 929-8676
Mailing address
609 FULTON ST E APT 1, GRAND RAPIDS, MI 49503-4425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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